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HomeMy WebLinkAboutHAZ-BUSINESS PLAN 3/8/2015BAKERSFIELD FIRE DEPT. aRTM Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST 2101 H Street ::aaa:, a:;::::• y...;. :aa;•..•:u.•.aa.:.,.;.,¢s::[: ?: aaG£ii::::;5ea;:j; , aaBakersfield, CA 93301 .::.:.r:.::..:::.:•:..;,. n'•. 4ik0.v .:. :.,.;:1..a.u;•nv;,v::n:axa a::•aa.aV:•.:. �autl: aaarc,:.:. �. C.: a: a::... o:..>.... ;.�.aA..:ra: +::.v..:.:..k....:4 a.....a:::.�v. n >n,: [ia >::: T•via.. :.... l..:n Haz -Mat Business Plan and Inventory Program Tel.: (661) 326 -3979 Fax: (661) 852 -2171 Xf C"'a1Z, FACILITY NAME y3 } INSPECTION DATE INSPECTION TIME ATt ADDRESS PHONE NO NO OF EMPLOYEES ... FACILITY CONTACT BUSINESS ID NUMBER z,i � {,.a �, �" a� �� sa'� C� s ? �s''t''S i..a -. s �'?, . „„,� . ,h -,t • ,.>r a Consent to Inspect Name /Title ❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C V ( C= Compliance OPERATION V= Violation COMMENTS U/ ❑ 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) 0 ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4) "❑ ❑ VERIFICATION OF LOCATION (CCR: 2729.2) U ❑ PROPER SEGREGATION OF MATERIAL (CFC: 5004.1) ® ❑ SAFETY DATA SHEET AVAILABILITY (CCR: 2729.2(3)(b)) IJ ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) © ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731(c)) P ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) /❑ ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5) F ❑ ❑ HOUSEKEEPING (CFC: 304.1) ❑ r " ❑ FIRE PROTECTION (CFC: 903 & 906) .4 .n ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3)) ANY HAZARDOUS WASTE ON SITE? ❑ YES "o Explain: i nature of Receipt: POST INSPECTION INSTRUCTIONS FOR RETURN -TO- 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 f.......... ."'"F Signature (that all violations have been corrected as noted) Date Pink Prevention Services Copy FD2155 (Rev 1/14)