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HomeMy WebLinkAboutHAZ-BUSINESS PLAN 5/26/2015BAKE RSF FIRE DEPT. Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST; R.... F...R,.s__F...t. `..n 2101 HStreet !FIRE k,. a.., ART .... .. .:.: :,....... : ..:.....:.:.:...:.:.. el CA 933 Haz-Mat Business Plan and Inventory Program Tel.: (661) 326 -3979 eus Fax: (661) 852 -2171 FACILITY NAME INSPECTION DATE INSPECTION TIME ADDRESS PHONE NO. NO OF E,M'PLOYEES 0 e FACILITY CONTACT BUSINESS ID NUMBER �r..:;J' fv( ,��x. t�.y a4.:;2 <� t d. v' +i".,r!✓�'� � ...M1 ' .� ?: i '"" �•''''�'S1.JJ .!"s Consent to Inspect Name /Title • 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) I Date Pink Prevention Services Copy FD2155 (Rev 1/14) 'v ❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C V ( C= Compliance) OPERATION V= Violation COMMENTS lif ❑ VISIBLE ADDRESS (CFC: 505.1, BMC:15,52.020) 1 ❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) L1 ❑ CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H &S 25404(e) Lf ❑ BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR-.2729-1) X ❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4) © ❑ VERIFICATION OF LOCATION (CCR: 2729.2) Ed ❑ PROPER SEGREGATION OF MATERIAL (CFC: 5004.1) El ❑ SAFETY DATA SHEET AVAILABILITY (CCR: 2729.2(3)(b)) C ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731(c)) LI ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) Ef ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5) Er ❑ HOUSEKEEPING (CFC: 304.1) d ❑ FIRE PROTECTION (CFC: 903 & 906) Q ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3)) ANY HAZARDOUS WASTE ON SITE? DYES ❑ NO E x p l a i n- g nature of Recei t: 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 Signature (that all violations have been corrected as noted) I Date Pink Prevention Services Copy FD2155 (Rev 1/14) 'v