HomeMy WebLinkAboutHAZ-BUSINESS PLAN 6/22/2016BAKERSFIELD FIRE DEPT.
Prevention Services
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UNIFIED PROGRAM INSPECTION CHECKLISTI FARE
E 2101 H Street
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aRrm T Bakersfield, CA 93301
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Haz-Mat Business Plan and Inventory Program Tel.: (661) 326-3979
Fax: (661) 852-2171
FACILITY NAME
-,
CTION DATE
INSPECTION TIME
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❑
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
ADDRESS
F
❑
APPROPRIATE PERMIT ON HAND
PHONE NO
NO OF EMPLOYEES
,Z.
A
CERS UPDATED FOR THE CURRENT CALENDAR YEAR
(H&S 25404(e:
FACILITY_C,ONTACT
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BUSINESS PLAN CONTACT INFORMATION ACCURATE
BUSINESS ID NUMBER
,.❑
❑
VERIFICATION OF INVENTORY MATERIALS
Consent to Inspect Name/Title
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❑
VERIFICATION OF QUANTITIES
❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI-AGENCY ❑ COMPLAINT ❑ RE-INSPECTION
C V C=Compliance) OPERATION COMMENTS
• 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
re of Receipt
Signaj
Date
Pink Prevention Services Copy
(that all violations have been corrected as noted)
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FD2155 (Rev 1/14)-
V=Violation
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❑
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
0
F
❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080:
,Z.
1-1
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)
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❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
,❑
❑
PROPER SEGREGATION OF MATERIAL
(CFC: 5004.1)
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❑
SAFETY DATA SHEET AVAILABILITY
(CCR: 2729.2(3)(b))
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
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❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731 (c))
❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
0
❑
CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
❑
HOUSEKEEPING
(CFC: 304.1)
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❑
FIRE PROTECTION
(CFC: 903 & 906)
,❑
❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? ','R,YES /"-,a-N&—
Explain:
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
re of Receipt
Signaj
Date
Pink Prevention Services Copy
(that all violations have been corrected as noted)
r
2"
FD2155 (Rev 1/14)-