HomeMy WebLinkAboutHAZ-BUSINESS PLAN 12/15/2014 (2)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. ❑ RE- INSPECTION
. ;, BAKERSFIELD FIRE DEPT.
.,
_ Prevention Services
UNIFIED PROGRAM
INSPECTION CHECKLIST z <""
F__R_.S F...t. 7J
FIRE 2101 H Street
:a<..
Bakersfield CA 9 .3301
HaZ -Mat Business Plan and Inventory Program
APPROPRIATE PERMIT ON HAND
Tel.: (66.1) 326 -3979
❑
CERS UPDATED FOR THE CURRENT CALENDAR YEAR
Fax: (661) 852 -2171
❑
BUSINESS PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
FACILITY NAME
VERIFICATION OF INVENTORY MATERIALS.
(CCR: 2729.3)
INSPECTION DA-TE
INSPECTION T&tr
(CCR: 2729.4)
ADDRESS ,- -
VERIFICATION OF LOCATION
(CCR: 2729.2)
PHONE NO -
NO OE-EMPLOYEES j
(CFC; 5004.1)
FACILITY: CONTACT
IJ
(CCR` 2729.2(3)(b))
BUSINESS'ID NUMBER'''
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
(CCR:2731(c))
❑
EMERGENCY PROCEDURES ADEQUATE
Con Wt to Inspect Name /Title
❑
CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
❑
t 44
1'w' .� d j) 69'
d
❑
FIRE PROTECTION
(CFC: 903 & 906)
❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2 (3))
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. ❑ RE- INSPECTION
C v
C= Compliance) OPERATION
V= Violation
COMMENTS
❑ .
VISIBLE ADDRESS . (CFC: 505.1, BMC:1.5.52.020)
❑
APPROPRIATE PERMIT ON HAND
(BMC: 1.5.65.080)
❑
CERS UPDATED FOR THE CURRENT CALENDAR YEAR
(H &S 25404(e)
❑
BUSINESS PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
a
' ❑
VERIFICATION OF INVENTORY MATERIALS.
(CCR: 2729.3)
w
❑
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)
d
❑
FIRE PROTECTION
(CFC: 903 & 906)
❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? YES .❑
NO
Explain:
Si natu 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)