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HomeMy WebLinkAboutHAZ-BUSINESS PLAN 6/15/2015 INCOMPLETEBAKERSFIELD FIRE DEPT. Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST:;`"" E...R,._S.,F...i, n 2101HStreet k F /RE ,.:..;. �n,:.::.... ...:....... ....�.,:.,:�.�:. < :.....,..:::r. .:: ::... Bakersfield, CA- Haz -Mat Business Plan and Inventory Program Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME INSPECTION DATE E_ IdSPECTION TIME COMMENTS ADDRESS PHONE NO NO OF EMPLOYEES FACILITY CONTACT BUSINESS ID NUMBER Consent to Inspect Name /Title :::::;i:' K:;`:::}'`'% ::: }Y ;:::;:;:Y''tJ:::i "::t5:::s ;::::;'" ":'r, i�`.':` r' 5:%`::: k:;:::} i'..''::{ 2:';::': r`` Y'::'+. c:^:: <;'.::y ?: %"> °i::ls: { >�s:':;! } <' yt };'::i5"" j'`:2:��:: %`y::::: j:2� ": :: %:;:: }:G:i':;.. : <:s:LG ` <:::'(::::;`::::::•: "1 ":;�' Y:: S: i2:::: y:::::}:::<' 2)`:< 3:{::::' :::;'i,3:':: <J:'::i2:i: ?£::`::: :.. u..i.rll. l. > I... an .: ..............................: .:...................................................:. ::::::::::.::......:.:......... a.._...... ........................ >::«::<:>;;;:<::<_>::>»>;::;::<::<::>::»::;»»>:«<:::>::;:<::::: k:;:::<:;>:<:::::> ,mow ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C V r C= Compliance OPERATION l COMMENTS V= Violation ❑ ❑ VISIBLE ADDRESS (CFC: 505.1, BMC:15.52.020) ❑ ❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) ❑ ❑ C;ERS UPDATED FOR THE CURRENT CALENDAR YEAR (H &S 25404(e) r BUSINESS CONTACT ACCURATE (CCR: 2729.1) � c ❑ ❑ PLAN INFORMATION ❑ ❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) , VU ❑ ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4)` ❑ ' ❑ VERIFICATION OF LOCATION (CCR: 2729.2) � ❑ ❑ PROPER SEGREGATION OF MATERIAL (CFC: 5004.1) IV\ ❑ ❑ SAFETY DATA SHEET AVAILABILITY (CCR: 2729.2(3)(b)) s }: ❑ ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) `h F ❑ ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731(c)) r ❑ ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) c ❑ ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5) ❑ ❑ HOUSEKEEPING (CFC: 304.1) ❑ ❑ FIRE PROTECTION (CFC: 903 & 906) j� ❑ ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3)) t 1 ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO Explain: Signature of Receipt: POS1' 1NSP1+ U110N 1NS'1'RUU'1'10NS YOR KIN TURN- TO- COMFL1ANU : • 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 Signature (that all violations have been corrected as noted) Date Pink Prevention Services Copy FD2155 (Rev 1/14)