HomeMy WebLinkAboutHAZ-BUSINESS PLAN 6/4/201510 A
BAKERSFIELD FIRE DEPT.
Prevention Services
.... ........ ................... ..... .
UNIFIED PROGRAM INSPECTION CHECKLIST I - fz;y 1 1 2101 H Street
FIRE
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aRrN T Bakersfield, CA 93301
Haz-Mat Business Plan and Inventory Program Tel.: (661) 326-3979
4r Fax: (661) 852-2171
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FACILITY NAME
V
INSPECTION PATE
INSPECTION TIME
ADDRESS
PHONE NO.
NO OF EMPLOYEES
15
-Z 'C'
1
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FACILITY CONTACT
(BMC: 15.65.080)
BUSINESS ID NUMBER
❑
M-' CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H&S 25404(e)
:226
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Consent-to Inspect Na'rfid/TiV6
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
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❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
.......... .............. ............. .............. .............. ......... . ...... ..........................
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H:R
X
X:
X,
M
X.,
X
ROUTINE COMBINED El JOINT AGENCY ❑ M JLTI-AGENCY ❑ COMPLAINT ❑ RE-INSPECTION
C
V
C=Compliance OPERATION
V=Violation
COMMENTS
❑
VISIBLE ADDRESS
(CFC: 505.1, BMC: 15.52.020)
❑
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APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
AV
❑
M-' CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H&S 25404(e)
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❑"'
❑
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
Er
❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
❑
PROPER SEGREGATION OF MATERIAL
(CFC: 5004.1)
Q/
❑
SAFETY DATA SHEET AVAILABILITY
(CCR: 2729.2(3)(b))
❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731 (c))
❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
❑
CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
121
❑
HOUSEKEEPING
(CFC: 304.1)
❑
1:1
FIRE PROTECTION
(CFC: 903 & 906)
❑'
❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? ❑ YES
0, NO
Explain:
Signature of Receipt:
F0N'1'jNbFhU11U1N Mb'1'.KUU1'lLU1Nb JVUK KEI U"-JLU-UU1V1r1LL11A%_E:
• Correct the violations) 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
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Signat6re (that all violations have been corrected as noted)
9
Date
Pink Prevention Services Copy FD2155 (Rev 1/14)