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HomeMy WebLinkAboutHAZ-BUSINESS PLAN 2/11/2015BAKERSFIELD FIRE DEPT. n Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST„"' F_.F:..s F__.i. - "n 2101 H Street :::.„ FIRE n..n. : ....... n'::::+ +•C`. m... .... .. nv. .n. n.u..uv..:..::•k'3iti: K:.v... vn. :.5i;:.v ?:.:i:' v:::i;i;nv::•.vn:•v::;:•:.••:; . ::i:n v: ':•:a.�:• u.. vv.vn. ./. .vv......n .....•:....... A: :;. Fv.,. >::;.:.g; :;:s. }v:< w:v:v.vy •' . ..:....... .,.:.:... v:.:::. J..:: •.:nv.J:.v:.o:.:.::,:.;:,•:.... .. :.....:. ..... n...:Jka...vr.J:J::. .en:: >: :•. ..: .h .• ��`•'... .. J.. F�'n'y.l. J.,., " },`2: r.:,. � :..h::...,..•:. ..:.:.....:.::.' �'." Bakersfield, CA 93301 ,Haz-Mat Business Plan and Inventory Program i Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAM INSPECTION DATE INSPECTION TIME a i�' _ �"�. f �' �4.i, fir», nr ;1 i E.. t 4` ka ,�• ,rY^ • 9 ADDRESS PHONE NO to- NO OF EMPLOYEES t y t A FACILITY CONTACT �y ( BUSINESS ID NUMBER 6, Consent to Inspect Name /Title ZO ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C V C= Compliance OPERATION V= Violation COMMENTS K ❑ VISIBLE ADDRESS (CFC: 505.1, BMC:15.52.020) 0 171 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) ` ❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) L ❑ 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)) L1 ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731(c)) ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) ® ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5) 4. FL1 ❑ HOUSEKEEPING (CFC: 304.1) ❑ FIRE PROTECTION (CFC: 903 & 906) ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3)) N HAZARDOUS W STE ON SITE. ❑ YES ❑ NO Explain: 1f' v'r: c9w.w+L.4.r'✓' 1 } S+' Fiw4..,..._?l Si nature of Receipt: ¢g A fi f U'* -d.. PUbl l.NbIrEU1101V ENkSTRUl;11U1 N YUK KL+ 1 MN- '1'U- UUMPL1AlVCE: • 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)