HomeMy WebLinkAboutHAZ-BUSINESS PALN 2/19/2015BAKERSFIELD FIRE DEPT.
Prevention Services
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UNIFIED PROGRAM INSPECTION CHECKLIST FIRE 2101 x Street
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HaZ -Mat Business Plan and Inventory Program Tel.: (661)'326 -3979
Fax: (661) 852 -2171
FACILITY NAME INSPECTION DATE INSPECTION TIME
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ADDRESS PH, NE NO. NO OF EMPLOYEES
FACILITY CONTACT BUSINESS ID NUMBER
Consent to Inspect Name /Title
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• Correct the violation(s) noted above by
• Within 5 days of correcting all of the violations, sign a" nd 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 (tha all viol tions have, been corrected as noted)
Date
Pink Prevention Services Copy FD2155 (Rev 1/14)
Cl-,,ROUTINE ❑ COMBINED ! ❑ JOINT AGENCY
❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
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V
r C= Compliance) OPERATION
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V= Violation
COMMENTS
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❑
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
❑
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APPROPRIATE PERMIT ON HAN D
(BMC: 15.65.080)
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❑
CERS UPDATED FOR THE CURRENT CALENDAR YEAR
(H &S 25404(e)
❑
BUSINESS PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
❑;_.
❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
❑� " "'❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
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❑
PROPER SEGREGATION OF MATERIAL
(CFC: 5004.1)
0'
❑
SAFETY DATA SHEET AVAILABILITY
(CCR: 2729.2(3)(b))
0,
❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731(c))
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❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
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❑
CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
❑` "`
❑
HOUSEKEEPING
(CFC: 304.1)
❑°
❑
FIRE PROTECTION
(CFC: 903 & 906)
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❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? ❑ YES 0'1 NO
Explain:
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Si nature. of Recei t.
POST INSPECTION INSTRUCTIONS FOR RETURN -TO- COMPLIANCE:
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• Correct the violation(s) noted above by
• Within 5 days of correcting all of the violations, sign a" nd 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 (tha all viol tions have, been corrected as noted)
Date
Pink Prevention Services Copy FD2155 (Rev 1/14)