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HomeMy WebLinkAboutHAZ MAT BUSINESS PLAN 12-19-14BAKERSFIELD FIRE DEPT. Prevention Services A.... E R, S F i A RFN UNIFIED PROGRAM INSPECTION CHECKLIST... FteF _ 2101 H Street ii•J: YS.yy :: +J:::: Bakersfield, CA 93301 Haz -Mat Business Plan and Inventory Program Tei,: (661),326-3979 Fax: (661) 852 -2171 FACILITY NAME INSPECTION DATE INSPECTION TIME ADDRESS PHONE NO. NO OF EMPLOYEES FACILITY CONTACT BUSINESS ID NUMBER Consent to Inspect Nairre /Title; ❑ ROUTINE .� COMBINED ❑ JOINT AGENCY . ❑ MULTI- AGENCY El. COMPLAINT 11 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) ❑ VERIFICATION OF LOCATION (CCR: 2729.2) ❑ PROPER SEGREGATION OF MATERIAL (CFC: 5004.1) ❑ SAFETY DATA SHEET AVAILABILITY (CCR: 2729.2(3)(b)) f,,Ef ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) ❑ ,©'" VERIFICATION OF ABATEMENT SUPPLIES.AND PROCEDURES (CCR:2731(c)) (i 4/ � - J � ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) ❑ ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5) ❑ HOUSEKEEPING (CFC: 304.1) p` ❑ FIRE PROTECTION (CFC: 903 & 906) 0" ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3)) ANY HAZARDOUS WASTE ON SITE? ,,E3 YES ❑ NOSf'r E x p l a i n: Si nature of Recei t: `'"="° �. Y"/ POST INSPECTION INSTRUCTIONS FOR RETURN -TO- COMPLIANCE: ' ( ), Y Correct the violations noted above b y Signature (that all violations have been corrected as noted) A Within 5 .days of correcting all of the violations; sign and return a copy of this page to: Bakersfield Fire Dept., Prevention Services, 21.01 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).