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HomeMy WebLinkAboutHAZ-BUSINESS PLAN 5/20/2015BAKERSFIELD FIRE DEPT. Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST t F R...:� F..`, n 2101 HStreet FIRE ;.:. M f RT ........... ..:.. vh.....,..................., , ..............:........v...... 3301 ,..,.....� >n s Bakersfield, ....:............ Rakers i Haz -Mat Business Plan and Inventory Program Tel.: (661) 326 -3979 / Fax: (661) 852 -2171 FACILITY NAME INS�PECTIONNyDAT INSPECTION TIME ADDRESS PHONE NO. NO OF EMPLOYEES FACILITY CONTACT BUSINESS ID NUMBER Consent to Inspect Name /Title ❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION V ! C= Compliance) OPERATION l COMMENTS V= Violation 0. ❑ VISIBLE ADDRESS (CFC: 505.1, BMC:15.52.020) Ed ❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) El. CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H &S 25404(e) 1 ❑ BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) Q f, ❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) ©; ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4) jD ❑ VERIFICATION OF LOCATION (CCR: 2729.2) ❑t':' ❑ PROPER SEGREGATION OF MATERIAL (CFC: 5004.1) Q ❑ SAFETY DATA SHEET AVAILABILITY (CCR: 2729.2(3)(b)) ❑�. ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) M, ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731(c)) f, ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) ❑ ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5) ' ❑ ,` ❑ HOUSEKEEPING (CFC: 304.1) t ❑ FIRE PROTECTION (CFC: 903 & 906) 0 ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3)) ANY HAZARDOUS WASTE ON SITE? OYES ❑ NO ; f l� Explain: Signature of Reeei 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: 1 a ** Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301 f Date White —Business Copy Yellow — Business Copy to be Sent in after return to Compliance Pink Prevention Services Copy FD2155 (Rev 1/14)