HomeMy WebLinkAboutHAZ-BUSINESS PLAN (INCOMPLETE)BAKERSFIELD FIRE DEPT.
.,y Prevention Services
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UNIFIED PROGRAM INSPECTION CHECKLIST - FARE 2101 H Street
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Bakersfield, C
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HaZ- Mat; Business Plan and Inventory Program Tel.: (661) 326 -3979
TM`t, Fax: (661) 852 -2171
FAG,LITY NAME _ INSPECTION DATE INSPECTION TIME
ADDRESS �5; PHONE NO'. NO OF EMPLOYEES
FACILITY CONTACT + 4 BUSINESS ID NUMBER
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onsent to Inspect Name /Title
4
❑ 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)
❑ ❑ /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)
❑ ❑ 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)
❑ ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731(c))
❑ ❑ 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 HAZ4RDOUS WASTE ON SITE? ❑ YES ❑ NO
Explain:
Si nature of Receipt:
POST INSPECTION INSTRUCTIONS FOR RETURN -TO- COMPLIANCE:
• 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:
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 9.3301
Date
White —Business Copy Yellow — Business Copy to be Sent in after return to Compliance Pink Prevention Services Copy FD2155 (Rev 1/14)
BAKERSFIELD FIRE DEPT.
Prevention Services
F 1, L
UNIFIED PROGRAM INSPECTION CHECKLIST FIRE 2101 H Street
ARFM r Bakersfield, CA 93301
Haz-Mat Business Plan and Inventory Program Tel.: (661) 326-3979
Fax: (661) 852-2171
FACILITY NAME INSPECTION DATE INSPECTION TIME
IN
ADDRESS PHONE NO. NO OF EMPLOYEES
FACILITY CONTACT r BUSINESS ID NUMBER
Consent to Inspect Name/Title
1
❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI-AGENCY ❑ COMPLAINT D RE-INSPECTION I
C V C=Compliance) OPERATION COMMENTS
V=Violation
❑ ❑ VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
❑ ❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
❑ ❑ CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H&S 25404(e)
1:1 ❑ BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
[:1 ❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
❑ ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4)
❑ ❑ VERIFICATION OF LOCATION (CCR: 2729.2)
171 ❑ PROPER SEGREGATION OF MATERIAL (CFC: 5004.1)
❑ ❑ 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))
n
❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
❑ ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
❑ ❑ HOUSEKEEPING (CFC: 304.1)
171 ❑ FIRE PROTECTION (CFC: 903 & 906)
❑ ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO
Explain: Signature of Receipt:
POST INSPECTION INSTRUCTIONS FOR RETURN-TO-COMPLIANCE:
• 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:
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 Pink Prevention Services Copy FD2155 (Rev 1/14)