HomeMy WebLinkAboutHAZ-BUSINESS PLAN 4/14/2005BAKERSFIELD FIRE DEPT.
Prevention Services
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UNIFIED PROGRAM INSPECTION CHECKLIST 1`1 - FIRE' 1 2101 H Street
-FIRE
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A ri. I r Bakersfield, CA 93301
Haz-Mat Business Plan and Inventory Program Tel.: (661) 326-3979
Fax: (661) 852-2171
FACILITY NAME
IN [DATE
SP P
INSPECTION TIME
1
COMMENTS,
❑
VISIBLE ADDRESS
(CFC: 505.1, BMC: 15.52.020)
ADDRESS
PHONE NO.
NO OF EMPLOYEES
APPROPRIATE PERMIT ON HAND
0
❑
BUSINESS ID NUMBER
FACILITY CONTACT
❑
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
1
r7i
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❑ VERIFICATION OF INVENTORY MATERIALS
consent to Inspect Name/Title
t
cv� P
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
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X
X.
I I I I I I I I I I I I I I I I I I I
X-0
Oil
M.
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)
)2,
❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
❑
CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H&S 25404(e)
)Er
❑
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
1
r7i
/L
❑ VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
t
❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
Rr
❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
Er'
❑
PROPER SEGREGATION OF MATERIAL
(CFC: 5004.1)
R
❑
SAFETY DATA SHEET AVAILABILITY
(CCR: 2729.2(3)(b))
❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
Fl-
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731 (c))
1:1
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
YT,-
❑
CONTAINERS PROPERLY LABELED
(CCR: 66262-34 (f); CFC: 5003-5)
❑
HOUSEKEEPING
(CFC: 304.1)
❑
FIRE PROTECTION
(CFC: 903 & 906)
❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? 0 YES e0" NO
Explain:
Signature ofReceivt: 4
C''
POST 1NSPEU1'10N 1NS'1'KUU'1'10NS FOR RE'1'U1KN-T0-U0MFL1A1NUE:
• 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 vi,91dtions have been corrected as noted)
Date
Pink Prevention Services Copy FD2155,(Rev. 1/14)