HomeMy WebLinkAboutHAZ-BUSINESS PLAN 3/15/2015BAKERSFIELD FIRE DEPT.
Prevention Services
R.... jA s F I : P
UNIFIED PROGRAM INSPECTION CHECKLIST ! IRE 2101 H Street
r Bakersfield, CA 933
Hat -Mat Business Plan and Inventory Program Tel.: (661) 326 -3979
JFax: (661) 852 -2171
FACILITY NAME INSPECTION DATE INSPECTION TIME
ADDRESS PHONE NO. NO OF EMPLOYEES
3
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
El ❑ VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
Pi ❑ CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H &S 25404(e)
Dr, ❑ BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
❑r` ❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
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❑'' ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4)
❑ VERIFICATION OF LOCATION (CCR: 2729.2)
0' ❑ PROPER SEGREGATION OF MATERIAL (CFC: 5004.1)
x.., ❑ SAFETY DATA SHEET AVAILABILITY (CCR: 2729.2(3)(b))
❑ ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
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❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731(c))
❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
EY ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
❑ HOUSEKEEPING (CFC: 304.1)
1.3 ❑ FIRE PROTECTION (CFC: 903 & 906)
❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? YES " ❑RNO
Explain: ° m
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Signature of Receipt:
,
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1�. tin'r'f � f
POST INSPECTION INSTRUCTIONS FOR RETURN -TO- COMPLIANCE: r-
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• 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)