HomeMy WebLinkAboutHAZ-BUSINESS PLAN 5/13/2015BAKERSFIELD FIRE DEPT.
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Prevention Services
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UNIFIED PROGRAM INSPECTION CHECKLIST 11"! �5-" - ----- P 2101 H Street
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FIRE
. . . . . . . . . . . . . . . . ARY r Bakersfield, CA 93301
Haz-Mat Business Plan and Inventory Program -3979
Tel.: (661) 326
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Fax: (661) 852-2171
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FACILITY NAME INSPECTIO
ADDRESS PHONE NO. NO OF EMPLOYEES
Ave,
FACILITY CONTACT BUSINESS ID NUMBER
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Ai e-4& y 61 /f, 7-4,V7- J) AzO20 I
''rCqjnsent to Inspect Name/Title
❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI-AGENCY ❑ COMPLAINT , ❑ RE-INSPECTION I
C
V
C=Compliance) OPERATION
V=Violation
COMMENTS
❑
VISIBLE ADDRESS
(CFC: 505.1, BMC: 15.52.020)
❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
[I
E!r
CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H&S 25404(e)
5
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BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
ET
❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
5
❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
Ef
❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
❑
PROPER SEGREGATION OF MATERIAL
(CFC: 5004.1)
Er
❑
SAFETY DATA SHEET AVAILABILITY
(CCR: 2729.2(3)(b))
0'
171
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731 (c))
❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
Ef
❑
CONTAINERS PROPERLY LABELED
(CCR: 66262.34 (f); CFC: 5003.5)
0
❑
HOUSEKEEPING
(CFC: 304.1)
❑
FIRE PROTECTION
(CFC: 903 & 906)
❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? ❑ YES M NO
Explain:
Ngnature of Receipt:
POST INSPECTION INSTRUCTIONS FOR RETURN-TO-COMPLIANCE:
• Correct the violation(s) noted above by Signature (that all violations have been corrected as noted)
• Within 5 days of correcting all of the violations, sip 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 FD2155 (Rev 1/14)