HomeMy WebLinkAboutHAZ-BUSINESS PLAN 5/13/2015aRrAf BAKERSFIELD FIRE DEPT.
Prevent ion Services
UNIFIED PROGRAM INSPECTION CHECKLIST'. 1101HStreet
G Bakersfield, CA
Haz -Mat Business Plan and Inventory Program y' Tel.: (661) 326 -3979
< Fax: (661) 852 -2171
FACILITY NAME INSPECTION DATE INSPECTION TIME
ADDRESS / PHONE E NO. NO OF EMPLOYEES
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FACILITY CONTACTT BUSINESS ID NUMBER
jL:3a 'i i'
Consent to Inspect Name /Title
❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT 11 RE- INSPECTION
C
V
C= Compliance OPERATION
V= Violation
COMMENTS
E
❑
VISIBLE ADDRESS
(CFC: 505.1, BMC:15.52.020)
Q
❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
"
❑
0'
CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H &S 25404(e)
Cyr
❑
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
Er
❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
C�
❑
.VERIFICATION OF QUANTITIES
(CCR: 2729.4)
.T_
❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
E'
❑
PROPER SEGREGATION OF MATERIAL
(CFC: 5004.1)
0'
❑
SAFETY DATA SHEET AVAILABILITY
(CCR: 2729.2(3)(b))
El'
❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
E°
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731(c))
E.
❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
1711`
❑
CONTAINERS PROPERLY LABELED
(CCR: 66262.34 (f); CFC: 5003.5)
13`
❑
HOUSEKEEPING
(CFC: 304.1)
-
❑
FIRE PROTECTION
(CFC: 903 & 906)
❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? ❑ YES CW)" NO
Explain:
i nature of Receipt:
POST INSPECTION INSTRUCTIONS EUK RETURN -'1'U- 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
w.
�.r
Signature (that all violations have been corrected as noted)
,F
Date
Pink Prevention Services Copy FD2155 (Rev 1/14)
;r
BAKERSFIELD FIRE DEPT.
Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST ,,.; . ...... E . ........ I ..R ......S ...F ....I L ...
FIRE 2101 H Street
ARM T
..... . .......
Bakersfield, CA 93301
Haz-Mat Business Plan and Inventory Program Tel.: (661) 326-3979
Fax: (661) 852-2171
FACILITY NAME INSPECTION DATE INSPECTION TIME
'5 -0--5
ADDRESS PHONE NO. NO OF EMPLOYEES
FACILITY CONTACT-
BUSINESS ID NUMBER
AA 0 A fir—. I t 1&e<J-C<--A.P— j IY4 I
sent to 'Inspect Name/Title
1
❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI-AGENCY ❑ COMPLAINT 0 RE-INSPECTION I
C
V
G=Gompliance) OPERATION
V=Violation
COMMENTS
❑
VISIBLE ADDRESS
(CFC: 505.1, BMC: 15.52.020)
EF
❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
❑
0
CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H&S 25404(e)
5
❑
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
Er
❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729-3)
e
❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
E!r
❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
Z
❑
PROPER SEGREGATION OF MATERIAL
(CFC: 5004.1)
R"
❑
SAFETY DATA SHEET AVAILABILITY
(CCR: 2729.2(3)(b))
Rr
❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
ET
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731 (c))
0
❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
[Er
❑
CONTAINERS PROPERLY LABELED (CCR:
66262.34 (f); CFC: 5003.5)
R'
❑
HOUSEKEEPING
(CFC: 304.1)
2
❑
FIRE PROTECTION
(CFC: 903 & 906)
ga'
❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? ❑ YES
2"NO
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
Signature (that' ,violatji&s have been corrected as noted)
Date
Pink Prevention Services Copy FD2155 (Rev 1/14)