HomeMy WebLinkAboutHAZ-BUSINESS PLAN 6/3/2015UNIFIED PROGRAM INSPECTION CHECKLIST
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Haz-Mat Business Plan and Inventory Program
FACILITY NAME
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ADDRESS 73 0
FACILITY CONTACT
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Donsent to Inspect Name/Title
BAKERSFIELD FIRE DEPT.
Prevention Services
F R F I
FIRE
2101 H Street
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ARTM Y Bakersfield, CA 93301
Tel.: (661) 326-3979
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Fax: (661) 852-2171
INSPECTIONDATE INSPECTION TIME
PHONE NO NO OF EMPLOYEES,
BUSINESS ID NUMBER
. 0 -3-1-& 7
❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
""HOUSEKEEPING (CFC: 304.1)
❑ FIRE PROTECTION (.CFC: 903 &
❑ ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? ,ETYES ❑ 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
White —Business Copy Yellow — Business Copy to be Sent in after return to Compliance
M
Signature (that all violations have been corrected as noted)
Date
Pink Prevention Services Copy
FD2155 (Rev 1/14)
❑
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)
❑
id
APPROPRIATE PERMIT ON HAND
(BMC:15.65.080)
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❑
CERS UPDATED FOR THE CURRENT CALENDAR YEAR
(H&S 25404(e)
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❑
BUSINESS PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
❑
VERI FC'AT"I'ON OF INVENTORY MATERIALS
(CCR: 2729.3)
❑
VERIF110ATIMOF, QPANTITIES
(CCR: 2729.4)
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VERIFICATION OF LOCATION
;(CCR: 2729.2)
❑
PROPER SEGREGATION OF MATERIAL
(CFC: 5004.1)
❑
SAFETY DATA SHEET AVAILABILITY
(CCR: 2729.2(3)(b))
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❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731 (c))
❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
""HOUSEKEEPING (CFC: 304.1)
❑ FIRE PROTECTION (.CFC: 903 &
❑ ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? ,ETYES ❑ 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
White —Business Copy Yellow — Business Copy to be Sent in after return to Compliance
M
Signature (that all violations have been corrected as noted)
Date
Pink Prevention Services Copy
FD2155 (Rev 1/14)