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Home My WebLink AboutHAZ MAT BUSINESS PLAN 8-27-14BAKERSFIELD FIRE DEPT. Prevention Services R..:. F.. R:. S. F t -:..TD UNIFIED PROGRAM. INSPECTION CHECKLIST 2101 H Street F /RE :h }•. ::.:.:..: .:5 <:•ri:i:e. } >::.::hv;: >':.:': h'i.:CYi:: } } } }n :v} }Y• }':v;. }�::. ......x. .. n... ... v:n�.:} }.ns ..... .. .... .. ..�:x:. :.,....... ,:...:.h:.: }�:.:..:,:.:..h.: ._:�� ARTM T Bakersfield, CA 93301 HaZ -Mat Business Plan and Inventory Program V Tel:: (661) 326 - 3979 Fax: (661) 852 -2171 FACILITY NAME 1Jf/ �(J INSP E }�CTI(O¢jn�`, DATE INSPEE /fJCTI(ONy TIME ADDRESS PHONE NO. NO OF EMPLOYEES FACILITY CONTACT BUSINESS' ID NUMBER /f 7q, Consent to Insp t Name/Title t::;:i S2% Y: �::::!::^ �;;;:,>:+.' e::`: s:::J:: "}:.'.' >':: ;eij7S..i: ?� � :;.; ?;,`G, %�yj:" <;: "'`:� �'� �:' %' ^. ?k %�:';j + >; �;fif:t:::'::: }::::::�::::;':: .. .. .. .... `.��':'':' sY::: ^::::;:' <'::':: `: �` �" �%:::::::;'::: 5'::':::: i`::'::: y :::::r,):f::.:' :':::::�::::Y::: 'r,:::: �: "::::i::::i �:: 2 ? ;::•`'�::::::'t::: >:::':::} >� �:::<::`:;'::::::: ::::i:::::::::Y:'t ?::'t:::jr'tc �y ,. .: ... :� ::: 2<}: isisS:::: isis�::::};:: i:::? is: 5; y:;: yixf•}; i:: }::.i: ^:h } ? >ir:. }.::j.j;. } >;:f; :: :::::�::::s:g:zgi;:;; ?:::: ?:::: t" P . ,a s . ............................... CI ROUTINE COMBINED El JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C V ( C= Compliance OPERATION - COMMENTS V= Violation Je9 ❑ fi 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) T` ❑ BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) ,lC ❑ 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)) ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) _J2'1__] VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731(c)) _0""�❑ 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: 2729.21(3)) r'© ANY HAZAR*DOUS WASTE ON SITE? 'YES . ❑ NO Explain: i nature of Recei t: 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 1114)