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HomeMy WebLinkAboutHAZ-BUSINESS PLAN 5/1/2015BAKERSFIELD FIRE DEPT. Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST A_. E_. ......._F._.. ' fl 2101 H Street FIRE ytt• };• }:.:.:...: - .::.: } }. }:.. .:.:...:..:.... :...ti Bakersfield, CA 93301 Haz Mat Business Plan and Inventory Program Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME ,F't 1( INSPECTION DATE INSPECTION TIME .` E 0 t� e tea° e'"r "�' r , f x, 6z ;5 /o p'`, ADDRESS PHONE NO. NO OF EMPLOYEES 4/ aR' - FACILITY CONTACT BUSINESS ID NUMBER brat �3 , onsent to Inspect Name /Title ,. ❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT 0 RE- INSPECTION C V l C= Compliance OPERATION COMMENTS V= Violation ❑ VISIBLE ADDRESS (CFC: 505.1, BMC:15.52.020) ❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) r c t�CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H &S 25404(e) ,,.,e► BUSINESS PLAN CONTACT INFORMATION ACCURATE CCR:2729.1'. C,, . } \ ❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)¢ ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4)` ❑ VERIFICATION OF LOCATION (CCR: 2729.2) ( ,' ❑ PROPER SEGREGATION OF MATERIAL (CFC: 5004.1) ❑ SAFETY DATA SHEET AVAILABILITY (CCR: 2729.2(3)(b)) ❑ A. VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731(c)) ❑` ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) app ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5) ❑ HOUSEKEEPING (CFC: 304.1) ° ❑ FIRE PROTECTION (CFC: 903 & 906) ,,E] ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3)) Al ANY HAZARDOUS WASTE ON SITE? ❑ YES 0__90 Explain: i nature of Receipt: POST INSPECTION INSTRUCTIONS FOR RETURN -TO- COMPLIANCE: k ; �" tjt C'nrre.nt the. vinlatinn(cl nnterl nhnve 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 7 Date White — Business Copy Yellow — Business Copy to be Sent in after return to Compliance Pink Prevention Services Copy FD2155 (Rev 1/14)