HomeMy WebLinkAboutHAZ-BUSINESS PLAN 2/4/2016BAKERSFIELD FIRE DEPT.
Prevention Services
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A._ R.S..
UNIFIED PROGRAM INSPECTION CHECKLIST >. :; < ... -
� FIRE 2101 H Street
Bak 301. f� f :
Haz -Mat Business Plan and Inventory Program Tel.: (661) 326 -379
Fax: (661) 852 -2171
FACILITY NAME l./ INSPECTION DATE INSPECTION TIME
ADDRESS PHONE NO. NO OF EMPLOYEES
BUSINESS ID NUMBER
FACILITY CONTACT
Consent to Inspect Name /Title'
❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V i (;= Compliance) OPERATION COMMENTS
POST INSPECTION INSTRUCTIONS FOR RETURN -TO- COMPLIANCE:
• 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)
V= Violation
❑ VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
❑
❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
E]
❑
CERS UPDATED FOR THE CURRENT CALENDAR YEAR
(H &S 25404(e)
❑
❑
BUSINESS PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
F
/❑
i
❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
El ❑ VERIFICATION OF QUANTITIES
(CCR: 2729.4)
El
VERIFICATION OF LOCATION
(CCR: 2729.2)
i
'J
❑
PROPER SEGREGATION OF MATERIAL
(CFC: 5004.1)
❑
❑
SAFETY DATA SHEET AVAILABILITY
(CCR: 2729.2(3)(b))
h❑ ❑ VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
[]
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731(c))
❑ ❑ EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
❑
❑
CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
❑;°
❑
HOUSEKEEPING
(CFC: 304.1)
[`
❑
FIRE PROTECTION
(CFC: 903 & 906)
.e
❑ SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2 (3))
NNY HAZARDOUS WASTE ON SITE? AYES ❑
NO
Explain:
i nature of Receipt: `:.
POST INSPECTION INSTRUCTIONS FOR RETURN -TO- COMPLIANCE:
• 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)