HomeMy WebLinkAboutHAZ-BUSINESS PLAN 2/11/2015BAKERSFIELD FIRE DEPT.
Prevention Services
A.... F R... S...1 -... i?
UNIFIED PROGRAM INSPECTION CHECKLIST FreE 2101 x street
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Bakersfield, C 93
B akersf
HaZ -Mat Business Plan and Inventory ProgralYt Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME INSPECTI N DATE INSPECTION TIME
ADDRESS PHONE NO. NO OF EMPLOYEES
FACILITY CONTACT BUSINESS ID NUMBER
Consent to Inspect Name /Title
YU61' IiN NIr1Lt;11U.N IIN b 1 CU l:11U1V l ..t K KL' 1 UK1V - lL V -%_ iV1YL1A1V t,Li :
• 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 De revention Services, 2101 H Street, California 93301
C N�'- w
White —Business Copy Yellow — Business Copy to be Sent in after return to Compliance
Signature (that all violations have been corrected as noted)
Date
Pink Prevention Services Copy
FD2155 (Rev 1/14)
ROUTINE ❑ COMBINED ❑ JOINT AGENCY
❑ MULTI- AGENCY
❑ COMPLAINT. ❑ RE- INSPECTION
C
V
c C= Compliance) OPERATION
V= Violation
COMMENTS
(
❑
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
❑
❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
❑
CERS UPDATED FOR THE CURRENT CALENDAR YEAR
(H &S 25404(e)
❑
.j
BUSINESS PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
pp yyy
❑
❑.
VERIFICATION OF INVENTORY MATERIALS
(CCR: 27294.
❑
0
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
❑
❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
❑
❑
PROPER SEGREGATION OF MATERIAL
(CFC: 5004.1)
f
❑
❑
SAFETY DATA SHEET AVAILABILITY
(CCR: 2729.2(3)(b))
❑
❑
VERIFICATION OF HAZ MAT °TRAINING
(CCR: 2732)
❑
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR2731(c))
t a r
❑
❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
El
❑
CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
❑
❑
HOUSEKEEPING
(CFC: 304.1)
❑
❑
FIRE PROTECTION
(CFC: 903 & 906)
❑
❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑
NO
Explain:
i
ture of Recei t:
YU61' IiN NIr1Lt;11U.N IIN b 1 CU l:11U1V l ..t K KL' 1 UK1V - lL V -%_ iV1YL1A1V t,Li :
• 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 De revention Services, 2101 H Street, California 93301
C N�'- w
White —Business Copy Yellow — Business Copy to be Sent in after return to Compliance
Signature (that all violations have been corrected as noted)
Date
Pink Prevention Services Copy
FD2155 (Rev 1/14)