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HomeMy WebLinkAboutHAZ-BUSINESS PLAN 12/2/2014aRrff BAKERSFIELD FIRE DEPT. Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST2101 H Street Bakersfield, CA 93.301 Haz -Mat Business Plan and Inventory Program � Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME INSPECTION, i . ❑J ❑ 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) El CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5) 0 ❑ HOUSEKEEPING (CFC: 3041) ❑.. FIRE PROTECTION (CFC: 903 & 906) ❑ ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3)) NY HAZARDOUS WASTE ON SITE? ❑ YES ,LT NO Explain: i nature of Recei LL24 n 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 Wfiite — Business Copy Yellow — Business Copy to be Sent in after return to Compliance Pink Prevention Services Copy FD2155 (Rev 1/14) r s ❑ ROUTINE 0,. COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ . RE- INSPECTION DATE INSPECTION TIME C V C =Compliance OPERATION C ) E R AT I O N V= Violation COMMENTS ADDRESS �, PHONE NO. NO OF EMPLOYEES —0 ❑ CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H &S 25404(e) FACILITY CONTACT �❑ ❑ BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) BUSINESS iD NUMBER n ❑, VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) 0- ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4) Consent to Inspect Name /Title X ❑ VERIFICATION OF LOCATION (CCR: 2729.2) IT ❑ PROPER SEGREGATION OF MATERIAL (CFC: 5004.1) i . ❑J ❑ 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) El CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5) 0 ❑ HOUSEKEEPING (CFC: 3041) ❑.. FIRE PROTECTION (CFC: 903 & 906) ❑ ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3)) NY HAZARDOUS WASTE ON SITE? ❑ YES ,LT NO Explain: i nature of Recei LL24 n 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 Wfiite — Business Copy Yellow — Business Copy to be Sent in after return to Compliance Pink Prevention Services Copy FD2155 (Rev 1/14) r s ❑ ROUTINE 0,. COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ . RE- INSPECTION C V C =Compliance OPERATION C ) E R AT I O N V= Violation COMMENTS 0 ❑. VISIBLE ADDRESS (CFC: 505.1, BMC:15,52.020) ©- ❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) —0 ❑ CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H &S 25404(e) �❑ ❑ BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) n ❑, VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) 0- ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4) ❑ VERIFICATION OF LOCATION (CCR: 2729.2) IT ❑ PROPER SEGREGATION OF MATERIAL (CFC: 5004.1) i . ❑J ❑ 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) El CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5) 0 ❑ HOUSEKEEPING (CFC: 3041) ❑.. FIRE PROTECTION (CFC: 903 & 906) ❑ ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3)) NY HAZARDOUS WASTE ON SITE? ❑ YES ,LT NO Explain: i nature of Recei LL24 n 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 Wfiite — Business Copy Yellow — Business Copy to be Sent in after return to Compliance Pink Prevention Services Copy FD2155 (Rev 1/14) r s