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HomeMy WebLinkAboutHAZ MAT BUSINESS PLAN 6-3-15BAKERSFIELD FIRE DEPT. Prevention Services UNIFIED PROGRAM INSPECTION. CHECKLIST R ` F ` "' 2101 HStreet FIRE F - .... ..� ,.: :........<:: ARTM T Bakersfield, CA 93301 HaZ -Mat Business Plan. and Inventory Program � Tel.:. (661) 326 -3979 Fax: (661) 852 -2171 ❑ ROUTINE ,COMBINED ❑ JOINT AGENCY ❑. MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C FACILITY NAME INSPECTION DATE INSPECTION TIME COMMENTS �'r ❑ VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) ADDRESS PHONE NO. NO OF EMPLOYEES (BMC: 15.65.080) o, ❑ CERS UPDATED FOR THE CURRENT CALENDAR YEAR FACILITY CONTACT y BUSINESS ID NUMBER ❑ BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) Consent to Inspect _Name/Title f 0 „ ❑ } ❑ ROUTINE ,COMBINED ❑ JOINT AGENCY ❑. MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C V l C= Compliance OPERATION V= Violation COMMENTS �'r ❑ VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) ,PT ❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) o, ❑ CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H &S 25404(e) ❑ BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) f 0 „ ❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) .Z' ❑ VERIFICATION OF QUANTITIES (.CCR: 2729.4) M ❑` ❑ VERIFICATION OF LOCATION (CCR: 2729.2) A❑ , ❑ PROPER SEGREGATION OF MATERIAL (CFC: 5004.1) -❑ ❑ SAFETY DATA SHEET AVAILABILITY (CCR: 2729.2(3)(b)) © C] VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) [3' ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731(c)) .r- ❑' El EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) ,❑ ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5) ❑/ ❑ HOUSEKEEPING (CFC: W4.1) .J2-- ' ❑ FIRE PROTECTION (CFC: 903 & 906) ❑ SITE.DIAGRAM ADEQUATE & ON HAND (CCR.: 2729.2 (3)) ANY HAZARDOUS WASTE ON SITE? YES, ❑ NO E x p l a i n: Signature of Receipt: 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)