HomeMy WebLinkAboutHAZ-BUSINESS PLAN 5/8/2015UNIFIED PROGRAM INSPECTION CHECKLIST
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Haz-Mat Business Plan and Inventory Program
FACILITY NAME
BAKERSFIELD FIRE DEPT.
INSPECTION DATE
Prevention Services
R
B TLR.� FE. - 11. n_TP
FIRE
2101 H Street
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ARTM r
Bakersfield, CA 93301
Tel.: (661) 326-3979
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❑
Fax: (661) 852-2171
FACILITY NAME
V
INSPECTION DATE
INSPECTION TIME
COMMENTS
V=Violation
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❑
ADDRESS
PHONE NO.
NO OF EMPLOYEES
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
BUSINESS ID NUMBER
FACILITY CONTACT
Consent to Inspect Name/Title
❑
CERS UPDATED FOR THE CURRENT CALENDAR YEAR
............ .......... . ...........
... .... -
Pl n -V .
❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI-AGENCY ❑ COMPLAINT ❑ RE-INSPECTION
C
V
r C=Compliance) OPERATION
COMMENTS
V=Violation
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❑
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
❑
CERS UPDATED FOR THE CURRENT CALENDAR YEAR
(H&S 25404(e)
A Cc 4
9
❑
BUSINESS PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
❑
5
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
❑
1771
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
171
VERIFICATION OF LOCATION
(CCR: 2729.2)
❑
PROPER SEGREGATION OF MATERIAL
(CFC: 5004.1)
❑
SAFETY DATA SHEET AVAILABILITY
(CCR: 2729.2(3)(b))
171
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731 (c))
❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
;0
❑
CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
❑
HOUSEKEEPING
(CFC: 304.1)
❑
FIRE PROTECTION
(CFC: 903 & 906)
1:1
❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑
NO
Explain:
Signature of; Rece
FUN'YINNFEUTION 1NN•RUUTJL0NN YUK Kk;TUKN-TU-UUiVWLlLAiNUh:
• Correct the violation(s) noted above by
• Within 5 days of correcting all of the violations, sign and return a copy of this page to:
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
White —Business Copy Yellow — Business Copy to be Sent in after return to Compliance
Signature (that all violations have been corrected as noted)
Date
Pink Prevention Services Copy FD2155 (Rev 1/14)