HomeMy WebLinkAboutHAZ-BUSINESS PLAN 5/15/2015¢r, BAKERSFIELD FIRE DEPT.
3' -- Prevention Services
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UNIFIED PROGRAM INSPECTION CHECKLIST 1 FIRE 2101 H Street
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Bakersfield, CA 9
Haz -Mat Business Plan and Inventory Program 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 /Title
❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
v
r C= Compliance OPERATION
l V= Violation
COMMENTS
❑
VISIBLE ADDRESS (CFC: 505.1, BMC:15.52.020)
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❑
APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
Er'
❑
CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H &S 25404(e)
❑
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
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❑
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
Rr
❑
VERIFICATION OF QUANTITIES (CCR: 2729.4)
❑
VERIFICATION OF LOCATION (CCR: 2729.2)
2"
❑
PROPER SEGREGATION OF MATERIAL (CFC: 5004.1)
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❑
SAFETY DATA SHEET AVAILABILITY (CCR: 2729.2(3)(b))
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❑
VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731(c))
❑
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
Ca'
❑
CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
2"
❑
HOUSEKEEPING (CFC: 304.1)
❑
FIRE PROTECTION (CFC: 903 & 906)
❑
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? 21YES ❑ NO
Explain: i nature of cei t:
POST INSPECTION INSTRUCTIONS FOR R XTURN -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)
BAKERSFIELD FIRE DEPT.
Prevention Services
A -_. E- R. S F- i
UNIFIED PROGRAM INSPECTION CHECKLIST -
f F /RE 2101 H Street
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HaZ -Mat Business Plan and Inventory Program y Tel.: (661) 326 -3979
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Fax: (661) 852 -2171
FACILITY NAME INSPECTION DATE INSPECTION TIME
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ADDRESS PHONE NO. NO OF EMPLOYEES
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FACILITY CONTACT BUSINESS ID NUMBER
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Consent to Inspect Name /Title
❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT El RE- INSPECTION
11"'.
C
V
( G= (;ompilance) OPERATION
V= Violation
COMMENTS
s.
❑
VISIBLE ADDRESS (CFC: 505.1, BMC:15.52.020)
❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
C
❑
CERS UPDATED FOR THE CURRENT CALENDAR YEAR
(H &S 25404(e)
C^
❑
BUSINESS PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
ff
❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
2r
❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
C'
❑
PROPER SEGREGATION OF MATERIAL
(CFC: 5004.1)
El
❑
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)
®"
❑
CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
9"
❑
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:
ice....%
I
Si nature of Receipt:
�..
_. t'sa'r.._.. »«T.t�n•- w�++:.r..w _ P.`��✓",�'d
—_
POST INSPECTION INSTRUCTIONS FOR RETURN -TO- COMPLIANCE:'" ` "`?" u -- •;r • -" - ` " "" ""
• 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 1114)