HomeMy WebLinkAboutHAZ-BUSINESS PLAN 4/30/2015BAKERSFIELD FIRE DEPT.
Prevention Services
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UNIFIED PROGRAM INSPECTION CHECKLIST FIRE 2101 H Street
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Rrm r Bakersfield, CA 93301
Haz-Mat Business Plan and Inventory Program r Tel.: (661) 326-3979
Fax: (661) 852-2171
❑
ROUTINE El, 'COMBINED ❑ JOINT AGENCY ❑ MULTI-AGENCY
❑ COMPLAINT ❑ RE-INSPECTION
C V
C=Compliance) OPERATION
V=Violation
COMMENTS
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VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
1 171
APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
2' ❑
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)
0 ❑
PROPER SEGREGATION OF MATERIAL (CFC: 5004.1)
1:1
SAFETY DATA SHEET AVAILABILITY (CCR: 2729.2(3)(b))
1 3 ❑
VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
❑" ❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731 (c))
❑
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
171 ❑
CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
11 ❑
HOUSEKEEPING (CFC: 304.1)
El ❑
FIRE PROTECTION (CFC: 903 & 906)
❑ ❑
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729,2 (3))
ANY HAZARDOUS WASTE ON SITE? —0-YES ❑ NO
Explain:
§ignature of. ReMpt:
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)
ajARrN BAKERSFIELD FIRE DEPT.
Pre vention Services
UNIFIED PROGRAM INSPECTION CHECKLIST 2101 HStreet
3301
Bakersfield, CA 9
Haz -Mat Business Plan and Inventory Program A Tel.: (661) 326 -3979
Y' Fax: (661) 852-.2171
FACILITY NAME INSP;ECTIO DATE INSPECTION TIME
(C a4 v{f _far ✓ fi b 7
..
ADDRESS PHONE NO. NO OF,EMPLOYEES
FACILITY CONTACT BUSINESS ID NUMBER
Consent to Inspept ,kobjitle
❑
ROUTINE ''COMBINED ❑ JOINT AGENCY
❑ MULTI - AGENCY ❑ COMPLAINT ❑. RE- INSPECTION
C V
( C= Compliance OPERATION
V =Violation
..COMMENTS
,ET ❑
VISIBLE ADDRESS (CFC: 505.1, BMC:15.52.020)
❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
,.0 ❑
CERS .UPDATED FOR THE CURRENT CALENDAR YEAR
(H &S 25404(e)
f— ❑
BUSINESS PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
A� ~❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
_Z ❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
.CI' ~. ❑
PROPER SEGREGATION OF MATERIAL
(CFC: 5004.1)
,,21--- ❑
SAFETY DATA SHEET AVAILABILITY
(CCR: 2729.2(3)(b))
,,E' ❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
;3-'❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731(c))
' ❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
I(-]- ❑
CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f);.CFC: "5003.5)
.,0- ❑
HOUSEKEEPING
(CFC: 304.1)
ZY ❑
FIRE PROTECTION
(CFC: 903 & 906)
�❑ ❑
SITE DIAGRAM ADEQUATE & ON kAND
(CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? --E3-YES ❑
NO
Explain:
i nature oftece
At 8/,' " ~
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 violations have been corrected as noted)
Date
Pink Prevention Services Copy
FD2155 (Rev 1/14)