HomeMy WebLinkAboutHAZ-BUSINESS PLAN 2/25/2015BAKERSFIELD FIRE DEPT.
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Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST: R_.. „E..R,_S_F._.t ir._n 2101 HStreet
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3301
Bakersfield, 9
Bak , C A
Haz -Mat Business Plan and Inventory Program Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME 3 Qe* INSPECTIONATE INS,d }PECTION TIME E
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ADDRESS ., 4- PHONE NO. NO OF EMFL-WYEES
FACILITY CONTACT . BUSINESS ID NUMBER
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Consent to Inspect Name /Title
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.............................
0 ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
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
COMMENTS
�s
�4.
.�
1 r , .r I
Signature (at all violat' , ns have been corrected as noted)
Date
Pink Prevention Services Copy
FD2155 (Rev 1/14)
C
V(
C= Compliance, OPERATION
V= Violation
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❑
VISIBLE ADDRESS
(CFC: 505.1, BMC:15.52.020)
2
❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
..0'
❑
CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H &S 25404(e)
❑
El
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)
0
❑
SAFETY DATA SHEET AVAILABILITY
(CCR: 2729.2(3)(b))
.2"
❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
2
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731(c))
0'
❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
❑
❑
CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
E7
❑
HOUSEKEEPING
(CFC: 304.1)
❑
❑
FIRE PROTECTION
(CFC: 903 & 906)
-9'
❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? ❑ YES
❑-NO
Explain:
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
COMMENTS
�s
�4.
.�
1 r , .r I
Signature (at all violat' , ns have been corrected as noted)
Date
Pink Prevention Services Copy
FD2155 (Rev 1/14)