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HAZ-BUSINESS PLAN 4/27/2015
°,4 „ BAKERSFIELD FIRE DEPT. Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST A -- fF /RE 1 J 2101 H Street F•i:H.::i:4 J�': �:5 :x :x: is ::xi::.:5x:: •;:. ::..:..; ...:.. :. ::.. �� : ::: ::. .:. +. ^i: •: �v: :::::. \....may.: .;.:.;.::::< Jr rjW Bakersfield, CA 93301 HaZ -Mat Business Plan and Inventory Program Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME INSPECTION DATE INSPECTION TIME _ AD,DRESS. } PHONE NO. NO O) EMPLOYEES , ••��33 .� F C.I.L-�ITY CONTACT J). t t BUSINESS ID NUMBER Co.r►sent,to Inspect Name /Title t n.... *...Hazaa €� ..M ::::::. ❑ 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) ❑ 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) ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4) 0 ham© ❑ VERIFICATION OF LOCATION (CCR: 2729.2) ❑ PROPER SEGREGATION OF MATERIAL (CFC: 5004.1) ❑ SAFETY DATA SHEET AVAILABILITY (CCR: 2729.2(3)(b)) ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731(c)) k ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) ❑ 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 Explain: Si nature of Receipt: ` i vial il\Ul L 1.11v1\ 11/14711 ulk-11V114a t Vll rk 1 Ull1V -1 lJ- l.,V1vlr.UTAINI -I.: • 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 (tl'a all violations have bee n` °borrected as noted) L Date 5 »`� Pink Prevention Services Copy FD2155 (Rev 1/14)