HomeMy WebLinkAboutHAZ-BUSINESS PLAN 6/4/2015BAKERSFIELD FIRE DEPT.
Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST }_ "" E_ ° °•S...F__. f - 2101 H Street
FIRE
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GA 93301
Bakersfield, ersfi
Bak
Haz-Mat Business Plan and Inventory Program Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME d INSPECTION DATE INSPECTION TIME
ADDRESS PHONE NO. NO OF EMPLOYEES
FACILITY CONTACT b yw BU }SINESS ID Nryt3UMBE4RYp �4 a
R .�tlY J..w'.�f ;: ✓.+ri Ianf �,eN� {' +:.J%,� e'YY .,�i '.tiV' C +..a 'L'v �� cv� � M ! �� '� l j
Consent to In81pect Name /Title y j
.......
C ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY COMPLAINT ❑ RE- INSPECTION
C v
C= Compliance, OPERATION
V =Violation
COMMENTS
❑
VISIBLE ADDRESS (CFC: 505.1, BMC:15.52.020)
R ❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
❑
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)
El ❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
❑
PROPER SEGREGATION OF MATERIAL
(CFC: 5004.1)
0 ❑.
SAFETY DATA SHEET AVAILABILITY
(CCR: 2729.2(3)(b))
❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
L7 ❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
(CCR:2731(c))
❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
❑
CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
O°r ❑
'
HOUSEKEEPING
(C Fla- 364.1)
❑
FIRE PROTECTION
(CFC: 903 & 906)
0 : ❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? ' 'YES ❑
NO
E x p l a i n:
�Q
Si '' nature of Receipt:
YUS1' INSM+U110A1ANTKUl 11UIN1 itUKKE UKN- 1V- UV1V1YL1AiNUE: �" f
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• Correct the violation(s) noted above by Signature (that all violations have been corrected as noted)
• Within 5 days of correcting all of the violations, sign and return a copy of this page to: ,�' ,r!,
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
Date
White — Business Copy Yellow — Business Copy to be Sent in after return to Compliance 1?ink;Prevention Services Copy FD2155 (Rev 1/14)