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HomeMy WebLinkAboutHAZ-BUSINESS PLAN 6/1/2015BAKERSFIELD FIRE DEPT. UNIFIED PROGRAM INSPECTION CHECKLIST { Fax. (661) 852 21�7�1 � Haz -Mat Business Plan and Inventory Program Prevention Services R.._. .. E_.. R -_ S. P.., I• '- p 2101 H Street FIRE ARM f Bakersfield, CA 93301 Tel.: (661) 326 -3979 FACILITY NAMEws '` x ; 1 C ..".� �( � Vp' 1 4�4wa� �K ��� � 1�Y• INSPECTION DATE - Win. INSPECTION TIMEt� .� h'•al. . •.. . ADDRESS r-14 = - c, PHONE NO. NO OF EMPLOYEES FACILITY CONTACT ❑,, ❑ - BUSINESS ID" NUMBER" U APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) Consent to Inspect Name /Title CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H &S 25404(e) .. C R BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) .....N.azsr . I� :..M e.. ...... _ ....... S..ct..� ... .. .............. :.::.:::::::::::::::....................... ....:. :::::::.::.:::::::. :::::. RX o ........................ ........ . ROUTINE ❑ COMBINED ❑ JOINT .. AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ ,,: RE- INSPECTION C V r C= Compliance OPERATION COMMENTS V= Violation ❑,, ❑ VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) 31" ❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) E3 ^❑., CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H &S 25404(e) L ❑ BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) E3/ ❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) n VERIFICATION OF QUANTITIES (CCR: 2729.4) .11. ._' ❑ ❑ VERIFICATION OF LOCATION (CCR: 2729.2) [3/ ❑ PROPER SEGREGATION OF MATERIAL (CFC: 5004.1) ❑❑ SAFETY DATA SHEET AVAILABILITY (CCR: 2729.2(3)(b)) ®" ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) ❑,r ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731(c))' a ?" ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) [Y" ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5) EI" ❑ HOUSEKEEPING (CFC: 304.1) 13 ❑ FIRE PROTECTION (CFC: 903 & 906) Ell" ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3)) ANY HAZARDOUS WASTE ON SITE? ES ❑ NO T } .r Explain: Si nature of Reece : �' .....: �"w . POST 1NSPEC110N 1NSYKU "t TIUNN NiU.K K�,l'U1ZN- '1'U- C0MYLJL NUE: • Correct the violation(s) noted a6;4,.*".,,`._ • 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 be Sent in after return to Compliance gnatu�re (that 11x11 h ve~ been corrected as noted) O Date Pink Prevention Services Copy FD2155 (Rev 1/14)