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HomeMy WebLinkAboutHAZ-BUSINESS PLAN 5/22/2015UNIFIED PROGRAM INSPECTION CHECKLIST Haz-Mat Business Plan and Inventory Program FACILITY NAME INSPECT bl\l DATE INSPECTION TIME ( u =uompuance� OPERATION V= Violation COMMENTS 5W A ' 1 .r IA-72 'uyvluey 5� ❑ ADDRESS PHONE NO`. NO OF EMPLOYEES F ❑ APPROPRIATE PERMIT ON HAND FACILITY CONTACT BUSINESS ID NUMBER tr t z CERS UPDATED FOR THE CURRENT CALENDAR YEAR Consent to Inspect Name /Title I ❑ BUSINESS PLAN CONTACT INFORMATION ACCURATE 21 ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION 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 Signature (that all violations have been corrected as noted) Date Pink Prevention Services Copy FD2155 (Rev 1/14) C V ( u =uompuance� OPERATION V= Violation COMMENTS 5� ❑ VISIBLE ADDRESS (CFC: 505.1, BMC:15.52.020) F ❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) ❑ CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H &S 25404(e) I ❑ BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) ❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) r❑' ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4) ❑ VERIFICATION OF LOCATION (CCR: 2729.2) ❑ PROPER SEGREGATION OF MATERIAL (CFC: 5004.1) ,E) ❑ SAFETY DATA SHEET AVAILABILITY (CCR: 2729.2(3)(b)) •0 ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) ,E] ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731(c)) 7� ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) ,� ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5) .©fi ❑ 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: i nature of Receipt: POST INSPECTION INSTRUCTIONS FOR RETURN -TO- COMPLIANCE:* t 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 Signature (that all violations have been corrected as noted) Date Pink Prevention Services Copy FD2155 (Rev 1/14) BAKERSFIELD FIRE DEPT Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST 1:11 2101 H Street FIRE A aRiTriffff Bakersfield, CA 93301 AR Haz-Mat Business Plan and Inventory Program Tel.: (661) 326-3979 Fax: (661) 852-2171 ❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI-AGENCY ❑ COMPLAINT El RE-INSPECTION C V (;=(;ompiiance) OPERATION V=Violation (CCR: 2729.2(3)(b)) COMMENTS ❑ VERIFICATION OF HAZ MAT TRAINING VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) F9 ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731 (c)) APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) Aa' CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H&S 25404(e) (CCR: 66262.34 (f); CFC: 5003.5) -0 ❑ BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) ti .07' ❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) ❑ f] ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4) ❑ VERIFICATION OF LOCATION (CCR: 2729.2) [3/ ❑ PROPER SEGREGATION OF MATERIAL (CFC: 5004.1) ' 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 bee, orTected as noted) Date Pink Prevention Services Copy FD2155 (Rev 1/14) ❑ SAFETY DATA SHEET AVAILABILITY (CCR: 2729.2(3)(b)) •21 ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) F9 ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731 (c)) Z ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) Aa' ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5) -0 ❑ HOUSEKEEPING (CFC: 304.1) ti ❑ FIRE PROTECTION (CFC: 903 & 906) 1,Ef ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3)) ANY HAZARDOUS WASTE ON SITE? ❑ YES N_ b lExplain: ' 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 bee, orTected as noted) Date Pink Prevention Services Copy FD2155 (Rev 1/14)