HomeMy WebLinkAboutHAZ-BUSINESS PLAN 5/13/2015BAKERSFIELD FIRE DEPT.
Prevention Services
E
UNIFIED PROGRAM INSPECTION CHECKLIST FIRE
. 01 H Street I
Bakersfield, CA 93301
Haz-Mat Business Plan and Inventory Program Tel.: (661) 326-3979
K
Fax: (661) 852-2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
ADDRESS
PHONE NO. NO OF EMPLOYEES
9'
❑
VISIBLE ADDRESS
BUSINESS ID NUMBER
FACILITY CONTACT
10"
7_AA-JejM
APPROPRIATE PERMIT ON HAND
Consent to Inspect Name/Title
❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI-AGENCY ❑ COMPLAINT El RE-INSPECTION
C
V
C=Compliance) OPERATION
V=Violation
COMMENTS
9'
❑
VISIBLE ADDRESS
(CFC: 505.1, BMC: 15.52.020)
10"
1:1
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
❑
B"
CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H&S 25404(e)
w / 7", q
9-
1:1
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
ET'
❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
9"'
❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
[Y'
❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
❑'
❑
PROPER SEGREGATION OF MATERIAL
(CFC: 5004.1)
2'
❑
SAFETY DATA SHEET AVAILABILITY
(CCR: 2729.2(3)(b))
3"
❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
[T
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731 (c))
2r
❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
B'^
❑
CONTAINERS PROPERLY LABELED
(CCR: 66262.34 (f); CFC: 5003.5)
13'
❑
HOUSEKEEPING
(CFC: 304.1)
2'
❑
FIRE PROTECTION
(CFC: 903 & 906)
Ef
❑
SITE DIAGRAM ADEQUATE &'ON HAND
(CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? ❑ YES [I"NO
X p lain:
Oig nature of Receipt:,
POST LNSPEC'fJON 0h'I'RUCTIONN FOR KETUKN-T0-UU1VWL1LA1NUh:
• 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)
ss BAKERSFIELD FIRE DEPT.
oe- Prevention Services
H F R S F I ID
UNIFIED PROGRAM INSPECTION CHECKLIST 0 1 - -- ` .... .;.,_ - - 2101 H Street
FIRE
A RrM r
"RrN r Bakersfield, CA 93301
Haz-Mat Business Plan and Inventory Program 44OP121 Tel.: (661) 326-3979
Fax: (661) 852-2171
Pas
FACILITY NAME INSPECTION DATE INSPECTION TIME
64& 44471LZ :-5c-2WC&F-r- '511-311 : &'5
ADDRESS PHONE NO. NO OF EMPLOYEES
"Z: 5, VA I 1W. '(&o J Z�m
2,5491
FACILITY CONTACT BUSINESS ID NUMBER
Arc. yr
Consent to Inspect Name/Title
... .. ... .. ............... ................. .............
......... ... .
. ..........
❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI-AGENCY ❑ COMPLAINT ❑ RE-INSPECTION
C
V
C=Compliance) OPERATION
V=Violation
COMMENTS
Rf
❑
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
92(
❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
❑
2"
CERS UPDATED FOR THE CURRENT CALENDAR YEAR
(H&S 25404(e)
P-
❑
BUSINESS PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
Ear
❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
V
❑
VERIFICATION OF QUANTITIES.
(CCR: 2729.4)
Rr ❑
VERIFICATION OF LOCATION
(CCR: 2729-2)
V
❑
PROPER SEGREGATION OF MATERIAL
(CFC: 5004.1)
0
❑
SAFETY DATA SHEET AVAILABILITY
(CCR: 2729.2(3)(b))
2'
❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
[5
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731 (c))
Er
❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
Rr'
1:1
CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
Pr
❑
HOUSEKEEPING
(CFC: 304.1)
Rr
❑
FIRE PROTECTION
(CFC: 903 & 906)
Ef
❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? ❑ YES
NO
Explain:
§ignature 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 (t all violations have been corrected as noted)
Date
Pink Prevention Services Copy FD2155 (Rev 1/14)