HomeMy WebLinkAboutHAZ-BUSINESS PLAN 5/20/2015r.
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BAKERSFIELD FIRE DEPT.
Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST `
aRrff 2101 H Street
::..:. ;.... akersfield CA 93301
x> B
v Tel.: (661) 326 -3979
HaZ -Mat Business Plan and Inventory Program Fax: (661) 852 -2171
INSPECTION DATE INSPECTION TIME
FACILITY NAME
PHONE NO. NO OF EMPLOYEES
ADDRESS
BUSINESS ID NUMBER
FACILITY CONTACT.. ""7 "M'
Consent to Inspect Name /Title
El ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE-INSPECTION
N
C V (G= Compliance) OPERATION CYOMMENTS
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 (CPC: 505.1,
BMC:15.52.020)
❑
APPROPRIATE PERMIT ON HAND
( BMC: 15.65,080)
El
CERS UPDATED FOR THE CURRENT CALENDAR YEAR
(H &S 25404(e)
e
'❑
❑
BUSINESS PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
�]
❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
/❑
❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
0
❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
F1
❑
PROPER SEGREGATION OF MATERIAL
(CFC: 5004.1)
❑;
[:1
SAFETY DATA SHEET AVAILABILITY
(CCR: 2729.2(3)(b))
r.
❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
F❑
t
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731(c))
❑`
❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
,F
F ❑F
❑
CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
�s❑
HOUSEKEEPING
(CFC: 304.1)
❑ r'
❑
FIRE PROTECTION
(CFC: 903 & 906)
f
(CCR: 2729.2 (3))
❑
❑
SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? fir❑ YES ❑
NO
Snature of Recei t: r"
Explain:
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)