HomeMy WebLinkAboutHAZ-BUSINESS PLAN 4/7/2015BAKERSFIELD FIRE DEPT.
r_ x Prevention Services
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UNIFIED PROGRAM INSPECTION CHECKLIST I F 1z's 1: ...... ...... P 2101 H Street
FIRE
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X.M.41* aRTAF T Bakersfield, CA 93301
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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
12
ADDRESS PHON , ENO. NO OF EMPLOYEES
t
FACILITY CONTACT BUSINESS ID NUMBER
14
Consent to Inspect Name/Title
13- 'ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI-AGENCY ❑ COMPLAINT ❑ RE-INSPECTION
C
V
C=Compliance) OPERATION
V=Violation
COMMENTS
1
❑
VISIBLE ADDRESS
(CFC: 505.1, BMC: 15.52.020)
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
❑
CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H&S 25404(e)
El-
❑
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
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❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
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❑
PROPER SEGREGATION OF MATERIAL
(CFC: 5004.1)
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❑
SAFETY DATA SHEET AVAILABILITY
(CCR: 2729.2(3)(b))
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❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
0"
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731 (c))
13
❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
❑""
❑
CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
❑
171
HOUSEKEEPING
(CFC: 304.1)
FIRE PROTECTION
(CFC: 903 & 906)
Ef
❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? ❑ YES
e5 NO
Explain:
S* nature of Receint
is
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
Signature (that all vidfations have been corrected as noted)
7
Date
Pink Prevention Services Copy FD2155 (Rev 1/14)