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HomeMy WebLinkAboutHAZ-BUSINESS PLAN 2/4/2016BAKERSFIELD FIRE DEPT. --... Prevention Services F R 4 F I L n UNIFIED PROGRAM INSPECTION CHECKLIST FRE 2101 H Street f akers ie Haz -Mat Business Plan and Inventory Program y; Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME INSPECTION DATE INSPECTION TIME ADDRESS PHONE NO. NO OF EMPLOYEES FAC4ffY CONTAC " l BUSINESS ID NUMBER � , <» V Consent to Inspect Name /Title • ' 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) ❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY D COMPLAINT ❑ RE- INSPECTION C V l C= Compliance) OpERATION V= Violation COMMENTS ❑ VISIBLE ADDRESS (CFC: 505.1, BMC:15.52.020) ❑ APPROPRIATE PERMIT-ON HAND (BMC: 15.65.080) El Q '© ❑ ❑ ❑ ❑ ❑ ❑ CERS UPDATED FOR THE CURRENT CALENDAR YEAR BUSINESS PLAN CONTACT INFORMATION ACCURATE VERIFICATION OF INVENTORY MATERIALS VERIFICATION OF QUANTITIES VERIFICATION OF LOCATION (H &S 25404(e) (CCR: 2729.1) (CCR: 2729.3) (CCR: 2729.4) (CCR: 2729.2) ❑ PROPER SEGREGATION OF MATERIAL (CFC: 5004.1) ® ❑ SAFETY DATA SHEET AVAILABILITY (CCR: 2729.2(3)(b)) 11 ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) 1! ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731(c)) ®Y ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5) ❑ ❑ ❑ ❑ HOUSEKEEPING FIRE PROTECTION (CFC: 304.1) (CFC: 903 & 906) I!r ❑ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? YES ❑ Explain: (CCR: 2729.2 (3)) NO i nature of Recei t€: r.,- POST INSPECTION INSTRUCTIONS FOR RETURN -TO- COMPLIANCE: r • ' 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)