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HomeMy WebLinkAboutHAZ-BUSINESS PLAN 2/11/2015BAKERSFIELD FIRE DEPT. a2101 Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST > H Street Bakersfield, CA 933 HaZ -Mat Business Plan and Inventory Program Tel.: (661) 326 -397 Fax: (661) 852 -2171 1 FACILITY NAME INSPECTION DATE INSPECTION TIME COMMENTS ❑ ADDRESS PHONE NO. 77 2 NO OF EMPLOYEES FACIL)TY CONTACT BUSINESS ID NUMBER APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) Consent to Inspect Name /Title ....... .... ...... .. . . . . . . . _ .......................... i7 H z r ..�a. M �wr rA� s ...e ........... xtxx......... .................. ............ .. .. ..Y �.o I..... F...................... ,M:.........*T.'....,.......... .. ........................ ............................... "❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C V ( C= compliance) OPERATION V= Violation COMMENTS ❑ ❑ VISIBLE ADDRESS (CFC: 505.1, BMC:15.52.020) ❑ ❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) a F❑ ❑ CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H &S 25404(e) ❑ BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) 3 ❑ ❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) t © ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4) ® ❑ VERIFICATION OF LOCATION (CCR: 2729.2) E3 ❑ PROPER SEGREGATION OF MATERIAL (CFC: 5004.1) E ❑ ❑ SAFETY DATA SHEET AVAILABILITY (CCR: 2729.2(3)(b)) ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) LJ ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731(c)) IJ ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) A ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5) ❑ ❑ HOUSEKEEPING (CFC: 304.1) ❑ ❑ FIRE PROTECTION (CFC: 903 & 906) ❑ ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3)) ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO E x pJ a i n: Si nature of Receipt: PUS "1' 1NSPEC;T1UN 1NSTR1UU1'1ONS FOR RET'URN40- 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 Date ,r . k Pink Prevention Services Copy_ FD2155 (Rey, 1/14) Signature (that all violations have been corrected as noted) White - Business Copy Yellow — Business Copy to be Sent in after return to Compliance