HomeMy WebLinkAboutHAZ-BUSINESS PLAN 5/22/2015BAKERSFIELD FIRE DEPT.
Prevention Services
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UNIFIED PROGRAM INSPECTION CHECKLIST ry
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Bakersfield, A 93301
2101 H Street
T Bak field C
Haz -Mat Busine ss Plan and Inventory Program Tel.: (661) 326 -3979
Fax: (661) 852 -2171
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FACILITY NAME
( C= Compliance OPERATION E RATI O N
INSPECTION DATE
INSPECTION TIME
V= Violation
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ADDRESS
VISIBLE ADDRESS (CFC:5.05.1, BMC:15.52.020)
PHONE N6.
NO OF EMPLOYEES
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(BMC: 15.65.080)
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FACILITY CONTACT
(H &S 25404(e)
BUSINESS ID NUMBER
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Consent to Inspect Na e/
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714
(CCR: 2729.1)
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Er ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY..' ❑ COMPLAINT ❑ RE- INSPECTION
C V
( C= Compliance OPERATION E RATI O N
COMMENTS
V= Violation
❑
VISIBLE ADDRESS (CFC:5.05.1, BMC:15.52.020)
f.
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APPROPRIATE PERMIT ON HAND,.
(BMC: 15.65.080)
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CERS UPDATED FOR THE CURRENT CALENDAR YEAR
(H &S 25404(e)
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BUSINESS PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
❑
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)
❑
SAFETY DATA SHEET AVAILABILITY
(CCR: 2729.2(3)(b))
❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
Q ❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731(c))
ff ❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
❑
CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
❑
HOUSEKEEPING
(CFC: 304.1)
❑
FIRE PROTECTION
(CFC: 903 & 906)°""'
❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? RYES ❑
NO
Explain:,., `Si
nature of Receipt.
POST INSPECTION INSTRUCTIONS r'OK 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
01/36
Signature (that all violations have been corrected as noted)
Date
Pink Prevention Services Copy FD2155 (Rev 1/14)