HomeMy WebLinkAboutHAZ-BUSINESS PLAN 2/4/2015aRT BAKERSFIELD FIRE DEPT.
Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST 2101 H Street
Bakersfield CA
Haz-Mat Business Plan and Inventory Program _ Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME INSPECTJON DATE INSPECTION TIME
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ADDRESS PHONE NO., NO OF EMPLOYEES
FACILITY CONTACT? r3 BUSINESS ID NUMBER
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Consent to Inspect Name /Title
• 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 a�'*
Date
White —Business Copy Yellow — Business Copy to be Sent in after return to Compliance Pink Prevention Services Copy—, FDM5 (Rev 1/14)
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Q ROUTINE ❑ COMBINED ❑ JOINT AGENCY
❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V
C= Compliance OPERATION
COMMENTS
V= Violation
❑
VISIBLE ADDRESS (CFC: 505.1, BMC:15.52.020)
❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
tJ ❑
CERS UPDATED FOR THE CURRENT CALENDAR YEAR
(H &S 25404(e)
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❑
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))
❑". ❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
..
% ❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731(c))
f
❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
❑
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))
17
ANY HAZARDOUS WASTE ON SITE? BYES ❑
NO
E x p I a i n : �is o r L ,
Si nature of Receipt:
_
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POST INSPECTION 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 a�'*
Date
White —Business Copy Yellow — Business Copy to be Sent in after return to Compliance Pink Prevention Services Copy—, FDM5 (Rev 1/14)
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