HomeMy WebLinkAboutHAZ-BUSINESS PLAN 5/13/2015OF ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT 11 RE- INSPECTION
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BAKERSFIELD FIRE DEPT.
COMMENTS
Prevention Services
UNIFIED PROGRAM
INSPECTION CHECKLIST
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11 Fi. 2101 H Street
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VISIBLE ADDRESS (CFC: 505.1, BMC:15.52.020)
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FARTM Bakersfield,
Haz Mat Business Plan and Inventory Program
Tel.: (661) 326 -3979
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, Fax: x(661) 85272171
FACILITY NAME
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INSPECTION DATE
INSPECTION TIME '
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VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
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VERIFICATION OF QUANTITIES (CCR: 2729.4)
ADDRESS
VERIFICATION OF LOCATION (CCR: 2729.2)
PHONE NO.
NO OF EMPLOYEES
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)
FACILITY CONTACT
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BU91NESS ID NUMBER
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EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
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CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
.Consent to Inspect Name /Title
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HOUSEKEEPING (CFC: 304.1)
OF ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT 11 RE- INSPECTION
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C= Compliance OPERATION
COMMENTS
V= Violation
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VISIBLE ADDRESS (CFC: 505.1, BMC:15.52.020)
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APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
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CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H &S 25404(e).:
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BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
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VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
13”'
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VERIFICATION OF QUANTITIES (CCR: 2729.4)
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VERIFICATION OF LOCATION (CCR: 2729.2)
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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)
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VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731(c))
13""
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EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
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CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
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HOUSEKEEPING (CFC: 304.1)
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FIRE PROTECTION (CFC: 903 & 906)
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SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3))
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ANY HAZARDOUS WASTE ON SITE? / YES j NO
Explain:
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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)