HomeMy WebLinkAboutHAZ-BUSINESS PLAN 5/2/2015UNIFIED PROGRAM INSPECTION CHECKLIST F/RE
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Haz -Mat Business Plan and Inventory Program
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) $52 -2171
FACILITY NAME
V
r C= Compliance) OPERATION
l V= Violation
INSPECTION DATE
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INSPECTION TIME
.
1
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❑
ADDRESS
APPROPRIATE PERMIT ON HAND
PHONE NO.:
NO OF EMPLOYEES
El
CERS UPDATED FOR THE CURRENT CALENDAR YEAR
(H &S 25404(e)
5
❑
D
BUSINESS PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
BUSINESS ID -NUMBER
FACILITY CONTACT
❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
❑
❑
VERIFICATION OF QUANTITIES
Consent to Inspect Name /Title
❑
❑
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❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
V
r C= Compliance) OPERATION
l V= Violation
COMMENTS
: %❑
❑
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
❑
Ej
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
[3
El
CERS UPDATED FOR THE CURRENT CALENDAR YEAR
(H &S 25404(e)
5
❑
D
BUSINESS PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
❑
❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
❑
❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
❑
❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
❑
PROPER SEGREGATION OF MATERIAL
(CFC: 5004.1)
r❑
❑
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))
:E]
❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
❑
❑
CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
❑
HOUSEKEEPING
(CFC: 304.1)
d
❑
FIRE PROTECTION
(CFC: 903 & 906)
❑
❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? El YES ❑
NO
Explain:
,; , 011 ,
t
Signature of Receipt:
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• 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
Signature (that all violations have been corrected as noted)
Date
White — Business Copy Yellow — Business Copy to be Sent in after return to Compliance Pink Prevention Services Copy FD2155 (Rev 1/14)