HomeMy WebLinkAboutHAZ-BUSINESS PLAN 3/12/2015n A
11AKERSFIELD FIRE DEPT.
1.11. ""' ' Prevention Services
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FIRE
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UNIFIED PROGRAM INSPECTION CHECKLIST I' .... ........ ......... 2101 H Street
FIRE
Rrm r Bakersfield, CA 93301
Haz-Mat Business Plan and Inventory Program Tel.: (661) 326-3979
Fax: (661) 852-2171
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FACILITY NAME INSPIECT]ON DATE INSPECTION TIME
ADDRESS PHONE NO.' NO OF EMPLOYEES
FACILITY CONTACT BUSINESS ID NUMBER
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Consent to Inspect Name/Titlg,
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Of ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI-AGENCY ❑ COMPLAINT ❑ RE-INSPECTION
C
V
u=uompiiance) OPERATION
V=Violation
COMMENTS
❑
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
I•/ ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65-080)
C]" ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3))
❑
CERS UPDATED FOR THE CURRENT CALENDAR YEAR
(H&S 25404(e)
ANY HAZARDOUS WASTE ON SITE? 171 YES 0r NO
❑
BUSINESS PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
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❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
• Within 5 days of correcting all of the violations, sign and return a copy of this page to:
❑,'
❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
D"
❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
❑/
❑
PROPER SEGREGATION OF MATERIAL
(CFC: 5004.1)
ET 171 SAFETY DATA SHEET AVAILABILITY (CCR: 2729.2(3)(b))
❑ "' ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
D/ ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731 (c))
12 1:1 EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
I•/ ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
El/ ❑ HOUSEKEEPING (CFC: 304.1)
❑ ❑ FIRE PROTECTION (CFC: 903 & 906)
C]" ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? 171 YES 0r NO
Explain:
Signature of Receipt:
POST INSPECTION INSTRUCTIONS FOR RETURN -TO- COMPLIANCE:
N11
1.
V
• Correct the violation(s) noted above by Siiiiature (that all violations b
• 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
.ve been corrected as noted)
FD2155 (Rev 1/14)