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HomeMy WebLinkAboutHAZ MAT BUSINESS PLAN 8-27-15aRrm BAKERSFIELD FIRE. DEPT. Prevention Services gUNIFIEDPROGRAMINSPECTIONCHECKLIST 2101 H Street, Bakersfield, CA 93301 Haz -Mat Business Plan and Inventory Program F, Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME INSPECTION DATE INSPECTION TIME COMMENTS ADDRESS PHONE NO. NO OF EMPLOYEES U' El FACILITY CONTACT BUSINESS ID NUMBER Consent to Inspect Name /Title ' CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H &S 25404(e) P::r r .:.:...:..:.......::::..: n: <::s .. .::I:nl .n::...... ............................... ...:..............:.......:.... t......P e... t.!:.......,...... 5. zap e............ ......:.... 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) U' El 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) I 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) 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 WASTE ON SITE? YES I NO E x p l ai n: ISignature ofReceipt . rt; POST INSPEl'TIOIN 11NJ1KUU11U1NJ rvK Kr,tultcl -iU - vlviri.us1 : v Correct the violations) 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 copyof this page to: Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301 - -- Date White — Business Copy Yellow Business Copy to be Sentin after returnto Compliance Pink Prevention Services Copy FD2155 (Rev 1/14)