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HomeMy WebLinkAbout2015 HAZMATBAKERSFIELD FIRE DEPT. Prevention. Services A.... E.R. S. F.:i. ...A UNIFIED PROGRAM INSPECTION CHECKLIST Fief 2101.H Street ......... • :::vnncya, n..v.:: : is ?:v: is :hF:.. : nn•: x:::.,. p.. B ers �e Haz -Mat Business Plan and Inventory Program X, Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME INSPE TIO, DATE INSPECTION TIME ADDRESS PHONE NO. NO OF EMPLOYEES 90o 1W0AJ7F_XC' - P� " ❑ VISIBLE ADDRESS (CFC: 505.1, BMC:15.52.020) FACILITY CONTACT BUSINESS ID NUMBER ❑ "P--APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) Consenf to.l specl,- Na68�Tf e. - ❑ ERS UPDATED FOR THE CURRENT CALENDAR YEAR (H &S 25404(e) ❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C V , C C= Compliance . OPERATION V= Violation COMMENTS P� " ❑ VISIBLE ADDRESS (CFC: 505.1, BMC:15.52.020) ❑ "P--APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) ❑ ERS 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) y,ld ❑ VERIFICATION OF LOCATION (CCR: 2729.2) ❑ PROPER SEGREGATION OF MATERIAL (CFC: 5004.1) ❑ SAFETY DATA SHEET AVAILABILITY (CCR: 2729.2(3)(b)) . ❑ 'P _' VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) ❑ . VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731(c)) ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) .."P ❑ 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? 1ES. ❑ NO Explain: Si nature of Recei t:, r1` POST INSPECTION INSTRUCTIONS FOR RETURN -TO- COMPLIANCE: Correct the violation(s) noted above b F r '' L Signature (that all violations have been corrected as noted) e y • 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)