HomeMy WebLinkAboutHAZ-BUSINESS PLAN 5/13/2015BAKERSFIELD FIRE DEPT.
w Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST "" - E,_R..,S,,,F..I. L..1 2101 H Street
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HaZ -Mat Business Plan and Inventory Program Tel.: (661) 326 -3979
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Fax: (661) 852 =2171
FACILITY NAME t r y INSPECTION DATE INSPECTION TIME
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ADDRESS PHONE NO. NO OF EMPLOYEES
FACILITY CONTACT BUSINESS ID NUMBER
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Consent to Inspect Name /Title
❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
V
( C= Compliance, OPERATION
V= Violation
COMMENTS
Q
❑
VISIBLE ADDRESS
(CFC: 505.1, BMC: 15.52.020)
9 r
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
❑
CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H &S 25404(e)
a
❑
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
S"
❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
IT
❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
E
❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
9
E�
❑
PROPER SEGREGATION OF MATERIAL
(CFC: 5004.1)
Ef
❑
SAFETY DATA SHEET AVAILABILITY
(CCR: 2729.2(3)(b))
E f
❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731(c))
0�
❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
❑
CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
13'
❑
HOUSEKEEPING
(CFC: 304.1)
❑�
❑
FIRE PROTECTION
(CFC: 903 & 906)
3
❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2 (3))
ANY HAZARDOUS
WASTE ON SITE? ❑ YES
O'NO
Explain:
i nature of Receipt:
POST INSPEC TION INSTRUCTIONS FUR RETURN- TO- C;OAIPLIAANC;E:
i
• 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
r
d
Signature (that all violations have been corrected as noted)
Date
Pink Prevention Services Copy FD2155 (Rev 1/14)
UNIFIED PROGRAM INSPECTION CHECKLIST
Haz-Mat Business Plan and Inventory Program
a;Rrm BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
V
{ u=uompuance OPERATION
V= Violation l
COMMENTS
Cf
❑
VISIBLE ADDRESS
(CFC: 505.1, BMC: 15.52.020)
Rr
❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
❑
E"
CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H &S 25404(e)
Q"
❑
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR:2729.1)
Ef
❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
ET
❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
K
❑
PROPER SEGREGATION OF MATERIAL
(CFC: 5004.1)
Ef
❑
SAFETY DATA SHEET AVAILABILITY
(CCR: 2729.2(3)(b))
e
❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
Rr
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731(c))
Ef
❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
C
❑
CONTAINERS PROPERLY LABELED
(CCR: 66262.34 (f); CFC: 5003.5)
❑
HOUSEKEEPING
(CFC: 304.1)
V ❑ FIRE PROTECTION (CFC: 903 & 906)
Ef ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? ❑ YES eNO
Explain: Signature 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
/ — . '" 71 v
Signature (' all violations have been corrected as noted)
Date
Pink Prevention Services Copy FD2155 (Rev 1/14)