HomeMy WebLinkAboutHAZ-BUSINESS PLAN 5/27/2015BAKERSFIELD FIRE DEPT.
Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST 2101 H Street
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f Bakersfield, CA .9330 1
HaZ -Mat Business Plan and Inventory Program Tel.: (661) 326 -3979
ax: (661) 852 -2171
FACILITY NAME
INSPECTION DATE
INSPECT ON TI E
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ADDRESS `""
PHONE NO.
NO OF EMPLOYEES
FACILITY CONTACT
BUSINESS ID NUMBER
Consent to Inspect Name /Title
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ROUTINE ❑ COMBINED ❑. ' JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C v ( C= Compliance) OPERATION
COMMENTS
V= Violation
❑ VISIBLE ADDRESS (CFC:.505.1, BMC:15.52.020)
❑ APPROPRIATE P. ERMIT ON HAND (BMC: 15.65.080)
❑ CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H &S 25404(e)
❑ BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
El VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
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❑ VERIFICATION OF QUANTITIES (CCR: 2729.4)
❑ VERIFICATION OF LOCATION (CCR: 2729.2)
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j. ❑ PROPER SEGREGATION OF MATERIAL (CFC: 5004.1)
❑ SAFETY DATA SHEET AVAILABILITY (CCR: 2729.2(3)(b))
❑ 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)
❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3))
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ANY HAZARDOUS WASTE ON SITE? ❑ YES j=' NO
Explain: Signature of Receipt:
T
POST INSPECTION INSTRUCTIONS FOR RETURN -TO- COMPLIANCE: y
LUCA
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• Correct the violation(s) noted above by Signat re (that 11 violations have been corrected as noted).
• 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
Date
White — Business Copy Yellow — Business Copy to be Sent in after return to Compliance Pink Prevention Services Copy FD2155 (Rev 1/14)