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HomeMy WebLinkAboutHAZ-BUSINESS PLAN 2/17/2015nFN BAKERSFIELD FIRE DEPT. Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST A 2101 H Street ::.:..:.:..:.r .:.: : :..:...................... :. ..:::.:..::.....:.eL f..,. i..:.: r.,.:::..a:.::::.<....,....:. a:.. �........::....:......: rl....... f..... o.. r>. rS.. n.. S..:.......».,.<....:... e:,.::...:. k::::. ..:.::r' ?;.•.::.wr:;.r:.:G.ar•. .:: ....:: ..: .:......:. ;.;s:o::::o..,,...,es B akersfiel , A I'` az -Mat Business Plan and. Inventory Program, Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY.NAME INSPECTION DATE INSPECTION TIME ADDRESS PHONE NO. NO OF EMPLOYEES ( C= Compliance OPERATION V= Violation COMMENTS ❑ BUSINESS ID NUMBER FACILITY CONTACT ❑ APPROPRIATE PERMIT ON HAND. g Consent t Name /Title CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H &S 25404(e) HIns, ❑ 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) © "ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT 0 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) ,Z1' Z ❑ VERIFICATION OF LOCATION (CCR: 2729.2) j, ❑ 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 HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO Explain: Si nature of Recei :, 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) nFN BAKERSFIELD FIRE DEPT. Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST A 2101 H Street ::.:..:.:..:.r .:.: : :..:...................... :. ..:::.:..::.....:.eL f..,. i..:.: r.,.:::..a:.::::.<....,....:. a:.. �........::....:......: rl....... f..... o.. r>. rS.. n.. S..:.......».,.<....:... e:,.::...:. k::::. ..:.::r' ?;.•.::.wr:;.r:.:G.ar•. .:: ....:: ..: .:......:. ;.;s:o::::o..,,...,es B akersfiel , A I'` az -Mat Business Plan and. Inventory Program, Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY.NAME INSPECTION DATE INSPECTION TIME ADDRESS PHONE NO. NO OF EMPLOYEES ( C= Compliance OPERATION V= Violation COMMENTS ❑ BUSINESS ID NUMBER FACILITY CONTACT ❑ APPROPRIATE PERMIT ON HAND. g Consent t Name /Title CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H &S 25404(e) HIns, ❑ 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) © "ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT 0 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) ,Z1' Z ❑ VERIFICATION OF LOCATION (CCR: 2729.2) j, ❑ 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 HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO Explain: Si nature of Recei :, 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)