HomeMy WebLinkAboutHAZ-BUSINESS PLAN 3/12/2015BAKERSFIELD FIRE DEPT.
Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST 1 2101 H Street
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AIR Bakersfield, CA 93301
Haz-Mat Business Plan and Inventory Program Tel.: (661) 326-3979
Fax: (661) 852-2171
FACILITY NAME
V
INSPECTION, DATE
INSPECTION TIM'
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COMMENTS
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❑
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
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❑
APPROPRIATE PERMIT ON HAND
ADDRESS
PHONE NO.
NO OF EMPLOYEES
CERS UPDATED FOR THE CURRENT CALENDAR YEAR
(H&S 25404(e)
FACILITY CONTACT
BUSINESS PLAN CONTACT INFORMATION ACCURATE
BUSINESS ID NUMBER
❑
71
(CCR: 2729.3)
Consent to Inspect Name/Title
❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
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❑
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CQ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY COMPLAINT ❑ RE-INSPECTION
C
V
C=Compliance) OPERATION
V=Violation
COMMENTS
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❑
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
Er
❑
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)
❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
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❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
S'
171
PROPER SEGREGATION OF MATERIAL
(CFC: 5004.1)
El
❑
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))
F1,
171
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
❑
CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
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❑
HOUSEKEEPING
(CFC: 304.1)
Ef
❑
FIRE PROTECTION
(CFC: 903 & 906)
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❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2 (3))
ANY HAZARDOUS
WASTE ON SITE? %O YES ❑
NO
Explain:
i gnature of Receipt:.
ILI-
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 violation's-'have been corrected as noted)
Date
Pink Prevention Services Copy
FD2155 (Rev 1/14)
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