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HomeMy WebLinkAboutHAZ-BUSINESS PLAN 9/25/2014UNIFIED PROGRAM INSPECTION CHECKLIST Haz -Mat Business Plan and Inventory Program BAKERSFIELD FIRE DEPT. FACILITY NAME INSP CTION DATE INSPECTION TIME I \ o 1 1. ADDRESS f PHONE NO. NO OF EMPLOYEES FACILITY CONTACT BUSINESS ID NUMBER Consent to Inspect Name /Title PU51' INSPECTION INS'I'KUC 1ONS JN'UK.KN 1'UKN- '1'U- 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 White = Business Copy Yellow — Business Copy to be Sent in after return to Compliance Signature (that all violations have been corrected as rioted) Date Pink Prevention Services Copy FD2155 (Rev 1/14) ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION' . C V C= Compliance) O P E RATI O N ( V= Violation COMMENTS Nz, ❑ VISIBLE ADDRESS (CFC:505.1, BMC:15.52.020) r., s - C A P ❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) Q. ❑ CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H &S 25404(e) f, ❑ BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) ❑ ❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729. ❑ ❑ 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) ❑ El VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731(c)) t++r,l > 3 1 -r'c ❑ ❑ 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 El NO Explain: i nature of Receipt: PU51' INSPECTION INS'I'KUC 1ONS JN'UK.KN 1'UKN- '1'U- 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 White = Business Copy Yellow — Business Copy to be Sent in after return to Compliance Signature (that all violations have been corrected as rioted) Date Pink Prevention Services Copy FD2155 (Rev 1/14)