HomeMy WebLinkAboutHAZ-BUSINESS PLAN 2/4/2016FACILITY NAME
I
I SP CTION DATE
INSPECTION TIME
C V r C= Compliance
l V= Violation
OPERATION
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COMMENTS
ADDRESS
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PHONE NO.
NO OF EMPLOYEES
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# 1 � e
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,Ef ❑ BUSINESS PLAN CONTACT INFORMATION
FACILITY CONTACT
❑ VERIFICATION
BUSINESS ID NUMBER
(CCR: 2729.3)
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❑ ❑ VERIFICATIONIOF
QUANTITIES
(CCR: 2729.4)
Li ❑ VERIFICATION
OF LOCATION
Consent to Inspect Name /Title
❑ PROPER SEGREGATION OF MATERIAL
❑ ROUTINE I❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
POST INSPECTION INSTRUCTIONS FOR RE TURN-TO-COMPLIANCE:
• Correct the violation(s) nod ed above by Signature (that all violations have been corrected as noted)
• Within 5 days of correctin g all of the violation 3, sign and return a copy of this page to: k i
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
Date
White —Business Copy Yellow — Business Copy o be Sent in after return to Compliance Pink Prevention Services Copy FD2155 (Rev 1/14)
I
C V r C= Compliance
l V= Violation
OPERATION
COMMENTS
l ❑ VISIBLE ADDRESS"
(CFC: 505.1, BMC:15.52.020)
Me" 1:1 APPROPRIATE PERMIT ON HAND
r
(BMC: 15.65.080)
E ❑ CERS UPDATED FOR THE CURRENT
CALENDAR YEAR (H &S 25404(e)
,Ef ❑ BUSINESS PLAN CONTACT INFORMATION
ACCURATE (CCR: 2729.1)
❑ VERIFICATION
OF INVENTORY MATERIALS
(CCR: 2729.3)
❑ ❑ VERIFICATIONIOF
QUANTITIES
(CCR: 2729.4)
Li ❑ VERIFICATION
OF LOCATION
(CCR: 2729.2)
❑ PROPER SEGREGATION OF MATERIAL
(CFC: 5004.1)
❑ SAFETY DATA SHEET AVAILABILITY
i
(CCR: 2729.2(3)(b))
E3 ❑ VERIFICATION OF HAZ MAT TRAINING
I
(CCR: 2732)
E ❑ VERIFICATION OF ABATEMENT SUPPLIES
i
AND PROCEDURES (CCR:2731(c))
I
❑ EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
❑ CONTAINERS PROPERLY LABELED
(CCR: 66262.34 (f); CFC: 5003.5)
❑ HOUSEKEEPING
I
(CFC: 304.1)
❑ FIRE PROTEC 11 ION I
(CFC: 903 & 906)
[�T ❑ SITE DIAGRAM
ADEQUATE & ON
HAND (CCR: 2729.2 (3))
ANY HAZARDOUS WASTE
ON SITE?
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i
C1 YES ❑ NO
E x p l a i n:+ J •. a t f°
i nature of Receipt:
POST INSPECTION INSTRUCTIONS FOR RE TURN-TO-COMPLIANCE:
• Correct the violation(s) nod ed above by Signature (that all violations have been corrected as noted)
• Within 5 days of correctin g all of the violation 3, sign and return a copy of this page to: k i
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
Date
White —Business Copy Yellow — Business Copy o be Sent in after return to Compliance Pink Prevention Services Copy FD2155 (Rev 1/14)