HomeMy WebLinkAboutHAZ-BUSINESS PLAN 5/28/2015y BAKERSFIELD FIRE DEPT.
Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST' A.... F.._R.__`_.F_.I`' 2101 H Street
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HaZ -Mat Business Plan and Inventory Program " Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME INSPECTION DATE INSPECTION TIME
ADDRESS PHONE NO. NO OF EMPLOYEES
FACILITY CONTACT BUSINESS ID NUMBER
Jk
Consent to Inspect Name /Title
a ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT El RE- INSPECTION
• 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
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Signature (that all violations have been corrected as noted)
r
a 1
Date
Pink Prevention Services Copy FD2155 (Rev 1/14)
C
V
( C= Compliance) OPERATION
V= Violation
COMMENTS
In
❑
VISIBLE ADDRESS (CFC: 505.1, BMC:15.52.020)
❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
❑
M
CERS UPDATED FOR THE CURRENT CALENDAR YEAR
(H &S 25404(e)
❑
BUSINESS PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
0
❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
Q
❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
0
❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
0
❑
PROPER SEGREGATION OF MATERIAL
(CFC: 5004.1)
0
❑
SAFETY DATA SHEET AVAILABILITY
(CCR: 2729.2(3)(b))
l
❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
0
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731(c))
171
❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
El
❑
CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
D
❑
HOUSEKEEPING
(CFC: 304.1)
ID
❑
FIRE PROTECTION
(CFC: 903 & 906)
C7
❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? ❑ YES E7
NO
Explain:
i nature of Rec
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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)
r
a 1
Date
Pink Prevention Services Copy FD2155 (Rev 1/14)