HomeMy WebLinkAboutHAZ-BUSINESS PLAN 4/30/2015BAKERSFIELD. FIRE DEPT.
Prevention Services
$ A. rR. P
UNIFIE D PROGRAM. INSPECTION CHECKLIST:, 2101HStreet
Bakersfield, CA 93301
Haz -Mat Business Plan and Inventory Program Tel.: .(661) 326 -3979
F Fax: (661) 852 -2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
COMMENTS
❑
VISIBLE ADDRESS (CFC: 505.1, BMC:15.52.020)
ADDRESS
PHONE NO.
NO OF<E,MPLOYEES
(BMC: 15.65.080)
❑: °
FACILITY CONTACT
BUSINESS ID NUMBER
7
s--
Consent to Inspect Nam ItlIE9.1
,-' .. ' ..
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I ...r....
PI. It... n.d...lr.t ...............! ..:..................::::..:......:.:::.:::::::::.: : <::::::::::::..::..::.::..::..
Ms. rll B...� ryes :.......................................................................... .........:::....:.............. _....... ...............................
Irir..�....:... l z r. e..... 1 ......0 ...... :.........................................................:......... ...............................
ROUTINE" ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V
l 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)
7
❑
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)
,LEI ❑
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))
fLl ❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
❑
CONTAINERS PROPERLY LABELED (CCR: 66262.34,(f); CFC: 5003.5).
,, ❑
HOUSEKEEPING
(CFC:304.1)
❑
FIRE PROTECTION
(CFC: 903 & 906)
U 0-,/ ,,6 Ire k'�
•tr��
❑
SITE DIAGRAM ADEQUATE '& ON HAND
(CCR: 2729.2 (3))
ANY HAZARDOUS
WASTE ON SITE? ES ❑
NO
Explain:
i nature of Recei t: ^. •=
y
• Correct the violation(s) noted above by ft`f� 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)
BAKERSFIELD FIRE DEPT.
Prevention Services
A.... F. -R--. S...F.. i. n
UNIFIED PROGRAM INSPECTION CHECKLIST A FIRE
2101 H Street
:..4•::
..::
',.::r::.�.,....: >..........,,. Bakersfield, CA
of
HaZ Mat Business Plan and Inventory Program rr Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME INSPECTION DATE INSPECTION TIME
ADDRESS PHONE NO. NO OF EMPLOYEES
FACILITY CONTACT BUSINESS ID NUMBER
Consent to Inspect Name lTtte
.
.❑` 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)
,A❑ ~ ❑ 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)
,0'. ❑ VERIFICATION OF LOCATION (CCR: 2729.2)
❑' ❑ PROPER SEGREGATION OF MATERIAL (CFC: 5004.1)
❑,r ❑ SAFETY DATA SHEET AVAILABILITY (CCR: 2729.2(3)(b))
❑ ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
Cl ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731(c))
.Z] ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
,Z ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34;(f); CFC: 5003.5)
f❑ ❑ HOUSEKEEPING (CFC: 304.1)
❑ FIRE PROTECTION
(CFC: 903 & 906) ,.
,^'13 ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? ,- 13 -1(ES ❑ NO
Explain: i nature of Recei t:
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
Date
White —Business Copy Yellow — Business Copy to be Sent in after return to Compliance Pink Prevention Services Copy FD2155 (Rev 1/14)