HomeMy WebLinkAboutHAZ-BUSINESS PLAN 12/2015POST 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 Jia e been corrected as noted)
Date
Pink Prevention Services Copy FD2155 (Rev 1/14)
❑' ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
BAKERSFIELD FIRE DEPT.
C. V r C= Compliance, OPERATION
V= Violation
k
Prevention Services
UNIFIED PROGRAM
INSPECTION CHECKLIST $
A.,.. E.,.R.._S___F_I. L..A 2101 HStreet
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FIRE
T Bakersfield, A 93301
.
Haz-Mat Business Plan
and Inventory Program
Tel.: (661) 326 -3979
❑ BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
Fax: (661) 852 -2171
El ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4)
FACILITY NAME'
El ❑ VERIFICATION OF LOCATION (CCR: 2729.2)
INSPECTION DATE
INSPECTION TIME
❑ ❑ 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))
ADDRESS rR
�.
❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
PHONE NO
NO OF EMPLOYEES
❑ ❑ HOUSEKEEPING (CFC: 304.1)
❑ ❑ FIRE PROTECTION (CFC: 903 & 906)
FACILITY CONTACT
N.Y HAZARDOUS WASTE ON SITE? ❑ YES p' NO
BUSINESS ID NUMBER
0
Explain:
i nature of Recei t .,.. _'
2
Consent to Inspect Name /Title
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 Jia e been corrected as noted)
Date
Pink Prevention Services Copy FD2155 (Rev 1/14)
❑' ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C. V r C= Compliance, OPERATION
V= Violation
COMMENTS
❑ ❑ 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)R
❑ BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
El ❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
El ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4)
El ❑ VERIFICATION OF LOCATION (CCR: 2729.2)
❑ ❑ 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))
N.Y HAZARDOUS WASTE ON SITE? ❑ YES p' NO
Explain:
i nature of Recei t .,.. _'
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 Jia e been corrected as noted)
Date
Pink Prevention Services Copy FD2155 (Rev 1/14)