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HomeMy WebLinkAboutHAZ-BUSINESS PLAN 4/28/2015BAKERSFIELD FIRE DEPT. .} ajARr Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST2101 HStreet I ».:.: ... CA 93301 Bakersfield, Ha z -Mat Business Plan and Inventory Program Tel:: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME INSPECTION DATE INSPECTION TIME VP4 a y ADDRESS PHONE NO. NO OF EMPLOYEES FACILITY CONTACT BUSINESS ID.NUMBER onsen pect ame r9 1e • Correct the violation(s) noted above by /z 1 • 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 7 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) ❑ 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) y ❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) ❑ CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H &S 25404(e) . ❑ )2'" BUSINESS. PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) __Fe ❑ VERIFICATION OF INVENTORY MATERIALS (CCR:. 2729.3) . CJ 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)) ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) _0_~ ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731(c)) ''' ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) , '" ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5) ❑ ©� HOUSEKEEPING (CFC: 304.1) A_1E P, ❑ FIRE PROTECTION (CFC: 903 & 906) El' ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3)) ANY HAZARDOUS WASTE ON SITE? �_ iYES ❑ NO 'c Ica Ic c Explain: Signature of Receipt: POST INSPECTION INSTRUCTIONS FOR RETURN -TO- COMPLIANCE: • Correct the violation(s) noted above by /z 1 • 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 7 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)