HomeMy WebLinkAboutHAZ-BUSINESS PLAN 2/3/2015BAKERSFIELD FIRE DEFT.
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UNIFIED PROGRAM INSPECTION CHECKLIST 2101 HStreet
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Haz- Mat.Business Plan and Inventory Program Tel.: (661) 326 -3979
Fax: (66.1) 852 -2171 y
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FACILITY NAME INSPECTION DATE INSPECTION TIME
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ADDRESS PHONE NO. NO.OF EMPLOYEES
FACILITY CONTACT BUSINESS ID NUMBER
Consent to Inspect Name /Title r
• Correct the violation(s) noted above by Si6at re (that all violations 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
Date
White —Business Copy Yellow — Business Copy to be Sent in after return to Compliance Pink Prevention Services Copy FD2155 (Rev 1/14)
❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ "RE- INSPECTION
C V r C= Compliance) OPERATION
l V_Violation
COMMENTS
1; ❑ 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)
fn ❑ 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)
Cl PROPER SEGREGATION OF MATERIAL (CFC: 5004.1)
❑ SAFETY DATA SHEET AVAILABILITY (CCR: 2729.2(3)(b)j
❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
42r 17 VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731(c))
C ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
,L7 ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
❑ HOUSEKEEPING (CFC: 3041)
® ❑ FIRE PROTECTION (CFC: 903 & 906)
Cf ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO
Explain:
Si nature of Receipt:
POST
INSPECTION INSTRUCTIONS FOR RETURN -TO- COMPLIANCE:
• Correct the violation(s) noted above by Si6at re (that all violations 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
Date
White —Business Copy Yellow — Business Copy to be Sent in after return to Compliance Pink Prevention Services Copy FD2155 (Rev 1/14)