HomeMy WebLinkAboutHAZ-BUSINESS PLAN 4/3/2015BAKERSFIELD FIRE DEPT.
Prevention Services_-...----
R 2101 H Street
UNIFIED; PROGRAM INSPECTION CHECKLIST B -F S RA.
F. E
R N T Bakersfield, CA 93301
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Haz-Mat Business Plan and Inventory Program Tel.: (661) 326-3979
Fax: (661) 852-2171
FACILITY NAME
e A
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INSPEGTIOW DATE
INSPECTION TIME
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ADDRESS
PHONE NO. -
NO OF EMPLOYEES
FACILITY CONTACT
BUSINESS ID NUM-BER
1771
Consent to Inspect Name /Title
(BMC: 15.65.080)
❑
CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H&S 25404(e)
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI-AGENCY ❑ COMPLAINT D RE-INSPECTION
C
V
C C=Compliance) OPERATION
V=Violation
COMMENTS
❑
VISIBLE ADDRESS
(CFC: 505.1, BMC: 15.52.020)
1771
APPROPRIATE PERMIT 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)
❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
171
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
1�r
❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
❑
PROPER SEGREGATION OF MATERIAL
(CFC: 5004.1)
❑,
❑
SAFETY DATA SHEET AVAILABILITY
(OCR: 2729.2(3)(b))
❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
"P
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731 (c))
1:1
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
1:1
CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
❑
HOUSEKEEPING
(CFC: 304.1)
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❑
FIRE PROTECTION
(CFC: 903 & 906)
❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? 0 YES
,rZ NO
Explain:
Signature of Receipt:
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31 INSPECTION INSTRUCTIONS iV1rjb1111'N%_jr':
• 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 violatiorkegave been corrected as noted)
_5
Date
Pink Prevention Services Copy FD2155 (Rev 1/14)