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HomeMy WebLinkAboutHAZ-BUSINESS PLAN 4/30/20153 -7 7, '!f BAKERSFIELD FIRE DEPT. Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST 2101 H Street FIRE TN T ak w�, A aRTA T B ersfield, CA 93301 Haz-Mat Business Plan and Inventory Program 490- -2171 Tel.: (661) 326-3979 Fax: (661) 852 FACILITY NAME INSPECTION� DATE INSPECTION TIME COMMENTS ADDRESS PHONE NO. NO OF EMPLOYEES A_ ❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) BUSINESS ID NUMBER FACILITY CONTACT ❑ CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H&S 25404(e) Consent to Inspect,Name/17itle Y X IX. xx_ -X.11::X::: :X x: wo X .-❑ ROUTINE ❑ COMBINED El JOINT AGENCY ❑ MULTI-A GENCY ❑ COMPLAINT ❑ RE-INSPECTION C v r C=Compliance) OPERATION V=Violation COMMENTS ❑ 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) ❑ 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) ❑" ❑ PROPER SEGREGATION OF MATERIAL (CFC: 5004.1) ❑' ❑ 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)) ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) ,,E]"' ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5) 12­" ❑ HOUSEKEEPING (CFC: 304.1) ,,-❑ ❑ FIRE PROTECTION (CFC: 903 & 906) .�,,❑` ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3)) ANY HAZARDOUS WASTE ON SITE? ...1-❑—YES ❑ NO Explain: Si nature of Re­­* N, 11 A' POS'FINSFEC'FION 11NS'1'RUU'1'10NS YOR UE'1'UXN-'1'0-U0MFL1ANUh: , • 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 violations have been corrected as noted) Date Pink Prevention Services Copy FD2155 (Rev 1/14) z., 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) �3 ❑ APPROPRIATE PERMIT ON HAND (BMC:: 15.65.080) E ❑ CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H &S 25404(e) ❑ BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) 112r ❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4) —10r ❑ VERIFICATION OF LOCATION (CCR: 2729.2) ❑ PROPER SEGREGATION OF MATERIAL (CFC: 5004:1) ❑ .SAFETY DATA SHEET AVAILABILITY (CCR: 2729.2(3)(b)) Er ❑ 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 & 906) SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3)) . ANY HAZARDOUS WASTE ON SITE? , . --©DES ❑ NO Explain: Signature of __ POST INSPECTION INSTRUCTIONS FOR RETURN -TO- COMPLIANCE: 0 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 Date White —Business Copy Yellow — Business Copy to be Sent in after return to Compliance Pink Prevention Services Copy FD2155 (Rev. 1/14)