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HomeMy WebLinkAboutHAZ MAT BUSINESS PLAN AND INVENTORY PROGRAM,t 5 BAKERSFIELD FIRE. DEPT. Prevention Services A -:. F. R...S...F..I 1 _ UNIFIED PROGRAM INSPECTION CHECKLIST y. FIRE 2101 H Street ,:. r# ...n.. : nO::L�u..u........,n......r.:.. x.. :. „ ....:.......}}.:{viii }.}. .. . ::.; m }:: v. ...v�..::::0i' }::; ir:i ?iSr: :.S•} };J e:;�'4: }in:. .. .. ... .....,... ......a.:.v..v:1.. .:...... n.6'`::�:k'i:{4:ti n.vn:. v.. , .. .. e.. ! .. ,., „ ..v':b ,:.,,.:.<:..v :..:.,,......,.. .. �,:.n. ARTM Bakersfield, CA 93301. Haz -Mat Business Plan and Inventory Program Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME INSPECTIONPATE 'f � INSPECTION TIME �J 00 ADDRESS r PHONE NO. NO OF EMPLOYEES [200/0 FACILITY CONTACT BUSINESS ID NUMBER onsent b Ins ect Name /Title r ::i: K:' r::: j: r::<:`;`:<'}:£: 9" y%%::;:' r::' U,.;< 3�`` `.::' ^::`:<i " ;2::;::'i:5:i::::� ?t: %:2�' %::;':::::: `:::::`:: R::: E::',•:::: i.'+.':,.:..' y.; Y1:;': ::i::::j:j%::;,:y::: ? "`�e:�::e: ': °: "Y; "`y:: <:'.:: i:: i<:: r:>''>7:: ?`!<;'.::;2;:i:`:;'::: ::i'i. ?:i ^):j�:'t;:; `:;:;':; :;:: f::::...::. ; : <: ,. .. ': ; AIL 11411:. ....B. tn. � �:...�� ............±� ; � .............................. ....:............ :..:..::..:::. ............................................ ............................... .. Il 111...'x.. k..... �. Z�.r. ..�. ... ..... Ms........ T .M................M....,...��.. ......... .. .......... .............................................. ............................... ❑ ROUTINE COMBINED . ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C. V ( C= Compliance) OPERATION COMMENTS V= Violation [200/0 VISIBLE ADDRESS (CFC: 505.1, BMC:15.52.020) ❑ APPROPRIATE PERMIT ON HAND (BMC: 15:65.080) IJ ❑ CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H &S 25404 (e) ❑ BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) C❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) r❑ VERIFICATION OF QUANTITIES (CCR: 2729.4) ❑ VERIFICATION OF LOCATION 2729.2) .(CCR: ',E] ❑ PROPER SEGREGATION OF MATERIAL (CFC: 5004.1) ❑ SAFETY DATA SHEET AVAILABILITY (CCR: 2729.2(3)(b)) ❑❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) ( 0 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 *ASTE ON SITE ?. ❑ YES /,- NO Explain: i nature of/R.ecei t: ; POST LNSPIa;"1'1V1N 11NSTKUUTIO NJ JN UK KL1 u1CiV -rV -t V1ViYL�iv� rJ: • Correct the violation(s) noted above by • 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 White Business Copy Yellow - Business Copy to be Sent in after return to Compliance Signature (that all violations have been corrected as noted) Date Pink Prevention Services Copy FD2155 (Rev 1/14)