HomeMy WebLinkAboutHAZ-BUSINESS PLAN 5/7/2015BAKERSFIELD FIRE DEPT.
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Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST 2101 H Street
.:.
Bakersfield CA
Haz -Mat Business Plan and Inventory Program j` Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME % e V INSP_EECCTt6N DATE INSPECTION TIME
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ADDRESS_ r PHONENOJ NO OF EMPLOYEES
FACILITY CONTACT IBUSINESS ID NUMBER
Consent to Inspect Name /Title
❑% ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
V
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)
❑
❑
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
0,
❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
0
❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
❑,
❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
El
❑
PROPER SEGREGATION OF MATERIAL
(CFC: 5004.1)
❑
❑
SAFETY DATA SHEET AVAILABILITY
(CCR: 2729.2(3)(b))
❑
❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
❑
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731(c))
13-
❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
3.
❑
CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
F-711
❑
HOUSEKEEPING
(CFC: 304.1)
_1\E1
11
FIRE PROTECTION
(CFC: 903 & 906)
❑
❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? ❑ YES
❑kNQ
Explain:
Si2nature of Receipt:
Y0S'1' LVSFEU'1'10N 1NS'1'KUU'1'10NS t'UK Kr:'1'UKN'1'0- U0MYLIANLL:
• 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
J� C�
Signature that al violations have been corrected as noted)
Date
Pink Prevention Services Copy FD2155 (Rev 1/14)