HomeMy WebLinkAboutHAZ-BUSINESS PLAN 4/27/2015BAKERSFIELD FIRE DEPT.
Prevention Services
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UNIFIED PROGRAM INSPECTION CHECKLIST1 R.. -- F.._R...`...F.__` r...A 2101HStreet
FIRE
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Haz -Mat Business Plan and Inventory Program Tel.: (661) 326 -3979
} Fax: (661) 852 -2171
FACILITY NAME V INS, PECTI TE INSPECTION TIME
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PHONE NO.
ADDRESS NO OF EMPLOYEES
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FACILITY CONTACT x"44 ` BUSINESS ID NUMBER
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Consent to Inspect Name /Title
❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
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
Date
White —Business Copy Yellow — Business Copy to be Sent in after return to Compliance Pink Prevention Services Copy
COMMENTS
(that all v1b9
have been corrected as noted)
FD2155 (Rev 1/14)
C
V
( u=uompiiance� OPERATION
V= Violation
(CCR: 2729.2(3)(b))
]
❑
VISIBLE ADDRESS (CFC: 505.1, BMC:15.52.020)
(CCR: 2732)
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Li
❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
4.
4Q
❑
CERS UPDATED FOR THE CURRENT CALENDAR YEAR
(H &S 25404(e)
❑
BUSINESS PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
"I1
❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
X1
❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE? ❑ YES [ NO
❑
PROPER SEGREGATION OF MATERIAL
(CFC: 5004.1)
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
Date
White —Business Copy Yellow — Business Copy to be Sent in after return to Compliance Pink Prevention Services Copy
COMMENTS
(that all v1b9
have been corrected as noted)
FD2155 (Rev 1/14)
❑
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))
4.
4Q
❑
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? ❑ YES [ NO
Explain:
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
Date
White —Business Copy Yellow — Business Copy to be Sent in after return to Compliance Pink Prevention Services Copy
COMMENTS
(that all v1b9
have been corrected as noted)
FD2155 (Rev 1/14)