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HomeMy WebLinkAboutHAZ-BUSINESS PLAN 1/25/2016BAKERSFIELD FIRE DEPT. Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST., FIRE 2101 H Street v {!b +•, ,.:..:.b;M: <:...:. :.. <;.h.:. »:, .... :. .•<.... >: >sv::::h::,::::..: >::> v.:::,: «: > >F::..::rAV :;, >, ART T Bakersfield, CA 93301 Haz -Mat Business Plan and Inventory Program Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME INSPECTION DATE INSPECTION TIME t t ADDRESS y4 yS PHONE NO. NO OMPLOYEES FACILITY CONTACT 55 BUSINESS ID NUMBER 42v rN Consent to Inspect Name /Title 1 ❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C V ( C= Compliance OPERATION COMMENTS V =Violation ❑ VISIBLE ADDRESS (CFC: 505.1, BMC:15.52.020) P ❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) 1 ❑ 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) r 101 ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4) ,❑ ❑ VERIFICATION OF LOCATION (CCR: 2729.2) ❑ PROPER SEGREGATION OF MATERIAL (CFC: 5004.1) El t El SAFETY DATA SHEET AVAILABILITY (CCR: 2729.2(3)(b)) Eli ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) d ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731(c)) © ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) 0 ; A ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5) 1 e ®f ❑ HOUSEKEEPING (CFC: 304.1) ❑ ❑ FIRE PROTECTION (CFC: 903 & 906) 12 ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3)) N'Y HAZARDOUS WASTE ON SITE? El YES `O NO Explain: i nature of Receipt: ^t 4 POST INSPECTION INSTRUCTIONS FOR RETURN -TO- COMPLIANCE: a o 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)