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Home My WebLink AboutHAZ-BUSINESS PALN 3/31/2015T:' 4 BAKERSFIELD FIRE DEPT. Prevention Services :. Preve S F I L 1 UNIFIED PROGRAM INSPECTION CHECKLIST 2101 H Street FIRE RTN f Bakersfield, CA 93301 HaZ -Mat Business Plan and Inventory Program Tel.: (661) 326 -3979 �- E f Fax: (661) 852 -2171 FACILITY NAME INSPECTION DATE INSPECTION TIME ADDRESS PHONE NO. NO OF kPLOYEES co v � BUSINESS ID NUMBER FACILITY CONTACT 6. r ,� *'I;�,,;,� '��•°�% �l'� ` ` ;,;... :.-- .^.rrT � �" �" �'^' ";. � � � ¢ - 4 .1:_, "-� s `.pis;,; : � : ,�.,.,� -.: Consent to Inspect Name /Title • Correct t11e violas on(s) note a ove y • Within 5 days of correcting all of the violations, sign and return a copy of this page to: r r Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301> Date White -Business Copy Yellow - Business Copy to be Sent in after return to Compliance 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) ❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) I ❑ 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) 21 ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4) ❑ VERIFICATION OF LOCATION (CCR: 2729.2) ;L ❑ PROPER SEGREGATION OF MATERIAL (CFC: 5004.1) ,5- ❑ 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)) j9 ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5) , T ❑ 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: i nature of Receipt: POST INSPECTION INSTRUCTIONS FOR RETURN -TO- COMPLIANCE: A b b Signature ('th l _ violations ~have °been corrected as noted) • Correct t11e violas on(s) note a ove y • Within 5 days of correcting all of the violations, sign and return a copy of this page to: r r Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301> Date White -Business Copy Yellow - Business Copy to be Sent in after return to Compliance Pink Prevention Services Copy FD2155 (Rev 1/14)