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HomeMy WebLinkAboutHAZ MAT BUSINESS PLAN AND INVENTORY PROGRAM 7-21-15t BAKERSFIELD FIRE DEPT. UNIFIED PROGRAM INSPECTION CHECKLIST.', E.,_R,,,S F t• .,,A Prevention Services FIRE 2101 H Street ::iQn• •: r... nu, .y }:•vCJ' • ?•.• v,v,J:?'� :•n 'vin : :..::i n. :N . . s..YJ: i.rti f. }::: ::n:nw.}.vni L�:J'{'?.•. ... ... w: n},•.si4: Bakersfield, CA 933 Haz -Mat Business Plan and Inventory Program Tel.: (661) 326 -3979 Fax: (661) 852 -2171 F FACILITY NAME INSPECTIO�t` DATE INSPECTION TIME ADDRESS PHONE NO. NO OF EMPLOYEES FACILITY CONTACT BUSINESS ID NUMBER Consent to Inspect Nam /Title ❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ . COMPLAINT ❑ 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) Or" ❑ CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H &S 25404(e)' a .❑ BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) ❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4) p D - VERIFICATION OF LOCATION (CCR: 2729.2) !i ❑ - 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,).,., r❑ CONTAINERS PROPERLY LABELED (CCR, 66262.34 (f); CFC: 5003.5) ' ❑ HOUSEKEEPING (CFC: 304.,,l) ❑ FIRE PROTECTION (CFC;,903 & 906) r ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3)) ANY HAZARDOUS WASTE ON SITE? ,0 YES . ❑ NO Explain: i nature of Recei t: POST INSPECTION INSTRUCTIONS FOR RETURN -TO- COMPLIANCE: 0 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 he Sent in after return to Compliance Signature (that all violations have been corrected as noted) Date Pink Prevention Services Copy FD2155 (Rev 1/14) Owner /Operator: a Facility:. Address:. i SUMMARY OF VIOLATIONS Item # Notice Of Violation: Class Il"and /or Class l Violations were found during this inspection as noted in the following Summary of Violations. REQUIREMENT FOR CORRECTION OF VIOLATION The violations- indicated in this inspection report must be corrected within 30 days, unless otherwise noted. / pqq 1) kj t�+`'j q��.'+�' j /q, ,( .�}y,_ } f rr 4 5 �" _. .. it { 3 {� f/� MT 4 Formal enforcement will be initiated for all Class I. Violations, and for any Class 11 violations not corrected within- the required timeframe. This, report does not represent thafthere are no other violations at this facilit y. A re- r nspec ti' on .may occur t d t erm ine compliance status., SUMMARY OF VIOLATIONS Item # VIOLATION REQUIREMENT FOR CORRECTION OF VIOLATION DATE FOR CORRECTION � 'ryg ) � jf { y E S awI i 1J' 6' 1 �J. ! V �y / pqq 1) kj t�+`'j q��.'+�' j /q, ,( .�}y,_ } f rr 4 5 �" _. .. it { 3 {� f/� MT 4 Vk.A Q,A i ? x f m w'i J 7-1-* f - l � J � �.. �� 'rte+ � �'`� � . � �"� M AI 4t e_. � � � • � A� . p / .� '. .^ . , (( ,'i JS t C• \.l � ."".�P <�i )y3 � :^.°` � iJ C.!. � �.J �i L'' i.f i �,, �` y!" 7' � r�.. e'e''�r. ,_,�.�•� P - .. J P - •,r�q w' l 8' ` 8+" ' 3 4ti C"p t?.... �f Inspectors - Si nature:"` Received by:a , Phone: T.Print,Name: Date: - Date: KPS #8447 White - Business Copy Yellow — Business Copy to be sent in after Return -to- Compliance Pink – Prevention Services Copy