HomeMy WebLinkAboutHAZ-BUSINESS PLAN 1/28/2015r
BAKERSFIELD FIRE DEPT.
Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST A.... F..- R- s- -F..T- �:.n 2101 HStreet
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FIRE
ARM Bakersfield, CA 93301
Haz -Mat Business Plan and Inventory Program Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME INSPECTION DATE INSPECTION TIME
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ADDRESS y �_ ,� + PHON,Et NO. NO OF EMPLOYEES
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FACILITY CONTACT BUSINESS ID NUMBER
Consent to Inspect Name /Title
❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
V
c C= Compliance) OPERATION
V =Violation
COMMENTS
❑
VISIBLE ADDRESS (CFC: 505. 1, 6 MC: 15.52.020)
❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
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❑
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)^'�'_
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❑
PROPER SEGREGATION OF MATERIAL
(CFC: 5004.1)
❑
SAFETY DATA SHEET AVAILABILITY
(CCR: 2729.2(3)(b))dq
❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
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A 'e
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731(c))
❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
❑
CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f);,CFC: 5003.5)
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'
❑
HOUSEKEEPING
(CFC: 304.1)
❑
FIRE PROTECTION
(CFC: 903 & 906)
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+ � 45
❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2 (3))
_
ANY HAZARDOUS WASTE ON SITE? YES 11
NO
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Explain: 1 f ,`,a =
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Cl
i nature of Receipt:
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)
1