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HomeMy WebLinkAboutHAZ MAT BUSINESS PLAN 8-26-15aRr BAKERSFIELD FIRE DEPT. Prevention S ervices a .UNIFIED PROGRAM INSPECTION CHECKLIST 2101 HStreet Ir Bak ersfield CA 93301. V `s HaZ -Mat Business Plan and Inventory Program Tel.: (661) 326 -3979 - Fax: (661) 852 -2171 FACILITY NAME INSPECTION DATE INSPECTION TIME -r"1 0 -V 9d 0 ADDRESS PHONE NO. NO OF EMPLOYEES FACILITY CONTACT BUSINESS ID NUMBER Consent to Inspect Name /Title •. 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 COMMENTS V= Violation ❑ VISIBLE ADDRESS (CFC: 505.1, BMC:15.52.020) .' ❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) ❑ -E!r CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H &S 25404(e) ;Q ❑ BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) . ❑ VERIFICATION OF INVENTORY MATERIALS . (CCR: 2729.3) ❑ VERIFICATION OF QUANTITIES (CCR: 2729:4) ©.. El VERIFICATION OF LOCATION (CCR: 2729.2) r ❑ PROPER SEGREGATION OF MATERIAL (CFC: 5004.1) SAFETY DATA SHEET AVAILABILITY (CCR: 2729.2(3)(b)) ❑ VERIFICATION. OF HAZ MAT TRAINING (CCR: 2732) ,,,D ❑ 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: 503 & 906) Q ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3)) ANY HAZARD.OU.S WASTE ON SITE? ❑ YES ❑ NO Explain. x nature of Re 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)