HomeMy WebLinkAboutHAZ-BUSINESS PLAN 5/13/2015BAKERSFIELD FIRE DEPT.
Prevention Services
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UNIFIED PROGRAM INSPECTION CHECKLIST 2101 H Street
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T Bakersfield, CA 9336
Haz-Mat Business Plan and Inventory Program `$
Tel.: (661) 326-3979
Fax: (661) 85272171
FACILITY NAME
V
INSPECTION DATE
INSPECTION TIME
COMMENTS
M 4 j
4' 3)
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
ADDRESS
3'
PHONE NO.
NO OF EMPLOYEES
(BMC: 15.65.080)
❑
❑"
FACILITY CONTACT
(H&S 25404(e)
BUSINESS ID NUMBER
5_9 A
❑
BUSINESS PLAN CONTACT INFORMATION ACCURATE
Consent to Inspect Name /Title
3`�
. . . . . . . . . . . . . . . . . . . . . ... .. ... ...
.. .... ....
❑ ROUTINE ❑ COMBINED El JOINT AGENCY [Ell UL I-AGENCY ❑ COMPLAINT ❑ RE-INSPECTION
`41
C
V
C=Compliance) OPERATION
V=Violation
COMMENTS
Er
❑
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
3'
❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
❑
❑"
CERS UPDATED FOR THE CURRENT CALENDAR YEAR
(H&S 25404(e)
❑'
❑
BUSINESS PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
3`�
❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
Er
❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
0"
❑
PROPER SEGREGATION OF MATERIAL
(CFC: 5004.1)
❑
SAFETY DATA SHEET AVAILABILITY
(CCR: 2729.2(3)(b))
rr
❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
12
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731 (c))
ED'
❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
❑
CONTAINERS PROPERLY LABELED (CCR- 66262.34 (f); CFC: 5003.5)
❑
HOUSEKEEPING
(CFC: 304.1)
❑
FIRE PROTECTION
(CFC: 903 & 906)
Eg"'
❑
SITE DIAGRAM ADEQUATE &' ON HAND
(CCR: 2729.2 (3))
a
ANY HAZARDOUS WASTE ON SITE? ❑ YES 2"NO
Explain:
$ig nature of Receipt:
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 violation. s have been corrected as noted)
Date
Pink Prevention Services Copy FD2155 (Rev 1/14)
UNIFIED PROGRAM INSPECTION CHECKLIST
Haz -Mat Business Plan and Inventory Program
BAKERSFIELD FIRE DEPT.
Prevention Services
FIRE 2101 H Street
ARM f Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
V
( u =uompuance, OPERATION
(CCR: 2729.4)
COMMENTS
Lr
❑
V =Violation
(CCR: 2729.2)
Ef
❑
VISIBLE ADDRESS (CFC: 505.1, BMC:15.52.020)
(CFC: 5004.1)
lY'
❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
(CCR: 2729.2(3)(b))
❑
(2r
CERS UPDATED FOR THE CURRENT CALENDAR YEAR
(H &S 25404(e)
(CCR: 2732)
2'
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731(c))
Bo'
❑
BUSINESS PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
["
❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
9
❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
Lr
❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
❑
PROPER SEGREGATION OF MATERIAL
(CFC: 5004.1)
❑
SAFETY DATA SHEET AVAILABILITY
(CCR: 2729.2(3)(b))
ET
❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
2'
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731(c))
Ef
❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
ff
❑
CONTAINERS PROPERLY LABELED
(CCR: 66262.34 (f); CFC: 5003.5)
9
❑
HOUSEKEEPING
(CFC: 304.1)
9
❑
FIRE PROTECTION
(CFC: 903 & 906)
03'
❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? ❑ YES RINO
Explain:
Signature of _Receipt: _.-- -�
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
F■
Signature (th4�CgyviolatiKis have been corrected as noted)
Date
Pink Prevention Services Copy FD2155 (Rev 1/14)