HomeMy WebLinkAboutHAZ-BUSINESS PLAN 2/17/2015]BBAKERSFIELD FIRE DEPT.
Prevention Services
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Bakersfield, CA 93301
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UNIFIED PROGRAM INSPECTION CHECKLIST! . ...... Fr RE_ R , E "", 2101 H Street
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Haz-Mat Business Plan and Inventory Program Tel.: (661) 326-3979
Fax: (661) 852-2171
FACILITY NAME INS ECTIJN DATE INSPECTION TIME
ADDRESS _PNE NO. NO OF EMPLOYEES
2_0 i 01 6
FACILITY CONTACT BUSINESS ID NUMBER
Consent to Inspect Name/Title
I 323--,ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI-AGENCY ❑ COMPLAINT ❑ RE-INSPECTION I
C V
C=Compliance) OPERATION
V=Violation
COMMENTS
❑
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020
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LIV ❑
APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
❑
CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H&S 25404(e)
1:1
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
1:1 ❑
VERIFICATION OF INVENTORY MATERIALS (CCR: 2�23)
❑ ❑
VERIFICATION OF QUANTITIES (CCR: 2729.4)
❑ ❑
VERIFICATION OF LOCATION (CCR: 2729.2)
❑ ❑
PROPER SEGREGATION OF MATERIAL (CFC: 5004.1)
❑ ❑
SAFETY DATA SHEET AVAILABILITY (CCR: 2729.2(3)(bf
r7l ❑
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)
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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:
I-01
POST INSPEACDON 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
S g:,nature' (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)
Prevention Services
rAR BAKERSFIELD FIRE DEPT.
..D
UNIFIED PROGRAM INSPECTION CHECKLIST 1 2101 H Street
..::::::::.:.:::.::: :::::t::::..::::::...::::.::::: ...... T Bakersfield, CA 93301
Haz -Mat Business Plan and Inventory Program Tel.: (661)326-3979
Fax: (661) 852 -2171
FACILITY NAME
INSPECTION DATE
ff
INSPECTION TIME
ADDRESS A t i
0,I)
I�"6$NE NOS.
NO OF EMPLOYEES
FACILITY CONTACT
BUSINESS ID NUMBER
Consent to Inspect Name /Title r
Itct..r�.......Haz . da Ls..Bus.tr�e PIIn. nu:e.nicr... Pc .:.................. ...............................
%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)
❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
El- ❑ 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)
❑ ❑ PROPER SEGREGATION OF MATERIAL (CFC: 5004.1)
❑ ❑ SAFETY DATA SHEET AVAILABILITY (CCR: 2729.2(3)(4)
❑ ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732
❑ ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731(c))
P4 IL
1:1 ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
.
L
❑ ❑ 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? ❑ YES ❑ NO
Explain:
Si nature of Receipt:
POST INSPE,QT ON INSTRUCTIONS FOR RETURN -TO- COMPLIANCE:
• 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)