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HomeMy WebLinkAboutBUSINESS PLAN 4/11/2015BAKERSFIELD FIRE DEPT. -- Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST A___ _E_R._S..F...t, -A 2101 H Street F/RE .h. :.. :..:Ci:}: }k� r : ::.:r N..v..� ?:Y.:uE�n•......... � :,�,.:.<, . ARM T i..:J.r p. /.. }.: •:'•:.u:•:':::;:.•.•,:;. ...... �.. y:rvuw:: ;':Y :::�v::•;: iv.•.:4f :•} Y W IX .. ' .. }:a }:ax0 }:a5ty ::.•;v :. ..:.•: •:n;.•::•:: •:YG }:.n•., .w:i: 'Wrsrcnw::r.:.:}..W.:.:4:u:.,: ,: :: }}. }Y}}•: " };.. :. :.. } :•' ......,.t.:. Y: };�}; <y':.Y:..:`p•xS: ••.0 <•::. :.: s• »:a ' Bakersfield, CA 93301 Haz -Mat Business Plan and Inventory Program 41IFSP11111 Tel.: (661) 326 -3979 r` Fax: (661) 852 -2171 FACILITY NAME INSPECTION DATE INSPECTION TIME ADDRESS ,r r7 PHONE NO. NO OF EMPLOYEES ,-�, 'p �.,�e.„j r i rf . t�r,p` ` J -�: .. ....1 ?n_y -y. FACILITY CONTACT BUSINESS ID NUMBER Consent to Inspect Name /Title ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C V ( C= Compliance) OPERATION V= Violation COMMENTS 01" ❑ 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) ❑�'h 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) 9-' ❑ SAFETY DATA SHEET AVAILABILITY (CCR: 2729.2(3)(b)) 0K' ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) CJ `" ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731(c)) El," ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) C1< ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5) ❑ HOUSEKEEPING (CFC: 304.1) ❑ FIRE PROTECTION (CFC: 903 & 906) L ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3)) ANY HAZARDOUS WASTE ON SITE? ❑ YES C �N '0 } Explain: Si 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 1/14)