HomeMy WebLinkAboutHAZ-BUSINESS PLAN 4/6/2015BAKERSFIELD FIRE DEPT.
R FiR Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST! 2101 H Street
FIRE
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Bakersfield, CA 93301
Haz-Mat Business Plana d Inventory Program Tel.: (661) 326-3979
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FACILITY NAME n'
INSPECTION DATE
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INSPECTION TIME
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COMMENTS
ED
ADDRESS
PHONE NO.
NO OF EMPLOYEES
91
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APPROPRIATE PERMIT ON HAND
FACILITY CONTACT
BUSINESS ID NUMBER
99-7Z 1
'14::
CERS UPDATED FOR THE CURRENT CALENDAR YEAR
Consent to Inspect Name/Ti tle
❑
1:1
BUSINESS PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
n ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI-AGENCY ❑ COMPLAINT El RE-INSPECTION I
C
V
r U=UOMpuance) OPERATION
V=Violation
COMMENTS
ED
❑
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
91
❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
El
❑
CERS UPDATED FOR THE CURRENT CALENDAR YEAR
(H&S 25404(e)
❑
1:1
BUSINESS PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
[D
❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
❑
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))
Fil
❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
El
171
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731 (c))
,E]
❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
n
❑
CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
El
❑
HOUSEKEEPING
(CFC: 304.1)
❑
FIRE PROTECTION
(CFC: 903 & 906)
❑
❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? ❑ YES
NO
Explain:
Signature of Receipt:
POST INSPECTION INSTRUCTIONS FOR RETURN-TO-COMPLIANCE:
17
• 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, sip 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)