HomeMy WebLinkAboutHAZ-BUSINESS PLAN 3/19/201510 A
BAKERSFIELD FIRE DEPT.
Prevention Services
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UNIFIED PROGRAM INSPECTION CHECKLIST 11
.... .... ... j. 1.� P 2101 H Street
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jA aArm r Bakersfield, CA 93301
Haz-Mat Business Plan and Inventory Program z> Tel.: (661) 326-3979
Fax: (661) 852-2171
FACILITY NAME INSPECTIONIDATE INSPECTION TIME
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ADDRESS PHONE NO. NO OF EMPLOYEES
FACILITY CONTACT BUSINESS ID MUMBER
C201
Consent to Inspect Name/Title
lo y 0 5
1
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI-AGENCY ❑ COMPLAINT 0 RE-INSPECTION I
C
v
G=UomPllance) OPERATION
COMMENTS
V=Violation
❑
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
1
❑
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 (OCR: 2729.3)
❑
VERIFICATION OF QUANTITIES (CCR: 2729.4)
r0
❑
VERIFICATION OF LOCATION (CCR: 2729.2)
❑
PROPER SEGREGATION OF MATERIAL (CFC: 5004.1)
❑
SAFETY DATA SHEET AVAILABILITY (CCR: 2729.2(3)(b))
i
❑
VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (COR:2731 (c))
M
❑
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
�❑
❑
CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
_A5,
1771
HOUSEKEEPING (CFC: 304.1)
❑
FIRE PROTECTION (CFC: 903 & 906)
❑
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? /tg YES ❑ NO
Explain:
Signature of Receipt:
POST INSPECTION INSTRUCTIONS FOR RETURN-TO-COMPLIANCE:
• Correct
the violation(s) noted above by
Signature (that all violatKons have been corrected as noted)
• 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
.3
Date
White —Business
Copy Yellow — Business Copy to be Sent in after return to Compliance Pink Prevention Services Copy FD2155 (Rev 1/14)