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HomeMy WebLinkAboutHAZ-BUSINESS PLAN 3/16/2016BAKERSFIELD FIRE DEPT. kz Prevention Services L . ..... P UNIFIED PROGRAM INSPECTION CHECKLIST H.... F R 8 F I . FIRE 2101 H Street Rrm T 7. Bakersfield, CA 93301 Haz-Mat Business Plan and Inventory Program 11111".. Tel.: (661) 326-3979 ❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI-AGENCY ❑ COMPLAINT ❑ RE-INSPECTION C V OPERATION V=Violation Fax: (661) 852-2171 FACILITY NAME ❑ VISIBLE ADDRESS INSPECTION DATE INSPECTION TIME ❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) ❑ ADDRESS ❑ BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) PHONE NO. NO OF EMPLOYEES N (CCR: 2729.3) ❑ VERIFICATION OF QUANTITIES FACILITY CONTACT i❑, ❑ BUSINESSID NUMBER (CCR: 2729.2) Ej ❑ PROPER SEGREGATION OF MATERIAL Consent to Inspect Name/Title Ef ❑ ❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI-AGENCY ❑ COMPLAINT ❑ RE-INSPECTION C V OPERATION V=Violation Ed ❑ VISIBLE ADDRESS (CFC :505.1, BMC: 15.52.020) E2/ ❑ 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) 1:1 VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4) i❑, ❑ VERIFICATION OF LOCATION (CCR: 2729.2) Ej ❑ PROPER SEGREGATION OF MATERIAL (CFC: 5004.1) Ef ❑ SAFETY DATA SHEET AVAILABILITY (CCR: 2729.2(3)(b)) D/ ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) El ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731 (c)) �, ❑�. ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) 171 CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5) ,171 ❑ HOUSEKEEPING (CFC: 304.1) El ❑ FIRE PROTECTION (CFC: 903 & 906) a' ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3)) ANY HAZARDOUS WASTE ON SITE? ❑ YES LY NO lExplain: POST INSPECTION INSTRUCTIONS FOR RETURN-TO-COMPLIANCE: • Correct the violation(s) noted above by 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 COMMENTS r0 Signature (that,all violatigns have been corrected as noted) Date Pink Prevention Services Copy FD2155 (Rev 1/14)