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HomeMy WebLinkAboutHAZ-BUSINESS PLAN 2/17/2015BAKERSFIELD FIRE DEPT. "iAf Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST � - 2101 H Street Bakersfield, A 3 Haz Mat Business Plan and Inventory Program Tel.: 661 326 -3979 Fax: (661) 852 -2171 FACILITY NAME INSPECTION DATE INSPECTION TIME ADDRESS PHONE NO. NO OF EMPLOYEES FACILITY CONTACT BUSINESS ID NUMBER Consent to Inspect Name /Title VIS a 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) _13, ❑ 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)­—" ❑ ❑ VERIFICATIONOF QUANTITIES (CCR: 2729.4) i ❑ ❑ VERIFICATION OF LOCATION (CCR: 2729.2) a ❑ ❑ PROPER SEGREGATION OF MATERIAL (CFC: 5004.1), ❑ ❑ SAFETY DATA SHEET AVAILABILITY (CCR: 2729.2(3)(b)) l ❑ ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) r ❑ ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731(c)) t` / ❑ ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) ❑ ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5) i ❑ ❑ HOUSEKEEPING (CFC: 304.1) ❑ ❑ FIRE PROTECTION (CFC: 903 & 906) x ❑ ❑ SITE DIAGRAM ADEQUATE '& ON HAND (CCR: 2729.2 (3))' a ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO Explain: Si nature of Receipt: Y0S'1' 1NSFEU'Y10N 1NS'1'RUU'1'10NS FOR 1KE'1'1UKN- T0- U0MYL1ANU : • `°""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 Signature (that all violations have been corrected as noted) Date White —Business Copy Yellow — Business Copy to be Sent in after return to Compliance Pink Prevention Services Copy FD2155 (Rev 1/14)