HomeMy WebLinkAboutHAZ-BUSINESS PLAN 5/28/2015T
BAKERSFIELD FIRE DEPT.
Prevention Services
aRrN RrN UNIFIED PROGRAM INSPECTION CHECKLIST:= 2101 HStreet
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Bakersfield, eld CA 93301
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HaZ -Mat Business Plan and Inventory Program Tel.: (661) 326 -3979
Fax: (661) 852 -2171
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FACILITY NAME INSPECTION DATE INSPECTIONp TIME
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ADDRESS PHONE NO. NO OF EMPLOYEES
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FACILITY CONTACT BUSINESS ID NUMBER
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Consent to Inspect Name /Title
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ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT 11 RE- INSPECTION
C V C= Compliance OPERATION
V= Violation
COMMENTS
CT** ❑ VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
Cr°`'❑ CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H &S 25404(e)
Er' 0 BUSINESS PLAN CONTACT INFORMATION ACCURATE (CC R :2729.1)
❑''❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
ET ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4)
❑-'[:] VERIFICATION OF LOCATION (CCR: 2729.2)
Ell"" ❑ PROPER SEGREGATION OF MATERIAL (CFC: 5004.1)
C❑ SAFETY DATA SHEET AVAILABILITY (CCR: 2729.2(3)(b))
EY ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
01"' ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731(c))
n-' ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
C ❑"`` HOUSEKEEPING (CFC: 304.1)
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C ❑ FIRE PROTECTION (CFC: 903 & 906)
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❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? CES ❑ NO
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Explain:
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i nature of Receipt
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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, 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)