HomeMy WebLinkAboutHAZ-BUSINESS PALN 3/16/2016BAKERSFIELD FIRE DEPT.
Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST" F. R- s F t- ` - - -p 2101,H Street
FIRE
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ART M T Bakersfield, CA 93301
HaZ -Mat Business Plan and Inventory Program Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME INSPECTION DATE INSPECTION TIME - -.4
to 9
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ADDRESS PHONE NO NO OF EMPLOYEES
FACILITY CONTACT BUSINESS ID NUMBER >
Consent to Inspect Name /Title
❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
V
( C= Compliance) OPERATION
COMMENTS
V= Violation
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❑
VISIBLE ADDRESS
(CFC: 505.1, BMC:15.52.020)
ti❑
❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
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❑
❑
CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H &S 25404(e)
❑
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
l
El
❑
VERIFICATION OF INVENTORY MATERIALS
(CCR`. 2729.3)
d�
❑
i
❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
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❑
PROPER SEGREGATION OF MATERIAL
(CFC: 5004.1)
❑
❑
SAFETY DATA SHEET AVAILABILITY r }'
(CCR: 2729.2(3)(b))
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❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731(c))
1Q1
❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
❑ j
❑
CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 50C
❑
❑
HOUSEKEEPING
(CFC: 30,
❑
❑
FIRE PROTECTION
(CFC: 903 & 90
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❑
SITE DIAGRAM ADEQUATE ON HAND
"(CCR: 2729.2 (3) ���j
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ANY HAZARDOUS WASTE ON SITE? ❑ YES
NO
Explain:
S. nature of Receipt-
POST INSPECTION INSTRUCTIONS FOR RETURN-TO- COMPLIANCE:
• 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 Dept., Prevention Services, 2101 H Street, California 93301
White -Business Copy Yellow - Business Copy to be Sent in after return to Compliance
Signature (that all violations have been corrected as noted)
f'Fb
Date
Pink Prevention Services Copy FD2155 (Rev 1/14)