HomeMy WebLinkAboutHAZ-BUSINESS PLAN 1/30/2015BAKERSFIELD FIRE DEPT.
Prevention Services
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UNIFIED PROGRAM INSPECTION CHECKLIST
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Bakersfield, CA 93361
Inventory Program Tel.: (661) 326 -3979 �
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Haz -Mat Business Plan and
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(j JOS Fax: (661) 852 -2171
FACILITY NAME _ INSPECTION DATE INSPECTION TIME
ADDRESS Plj ENO NO OF EMPLOYEES
FACILITY CONTACT BUSINESS ID NUMBER
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Consent to Inspect Name /Title
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❑ ROUTINE ❑ COMBIINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT 11 RE- INSPECTION
C V C= Compliance OPERATION COMMENTS
V= Violation
❑ 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)
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❑ BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
t❑ ❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
p ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4)
4f1 ❑ VERIFICATION OF.LOCATION (CCR: 2729.2)
I ❑ PROPER SEGREGATION OF MATERIAL (CFC: 5004.1)
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❑ 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))
❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
D ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
=f❑ ❑ HOUSEKEEPING (CFC: 304.1).
El ❑ FIRE PROTECTION (CFC: 903 & 906)
El ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO
Explain:
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
Signature (that all violations have been corrected as noted)
Date
White —. Business Copy Yellow — Business Copy to be Sent in after return to Compliance Pink Prevention Services Copy FD2155 (Rev 1/14)