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HomeMy WebLinkAboutHAZ-BUSINESS PLAN 5/27/2015BAKERSFIELD FIRE DEPT. a#rTr Prevention Services UNIFIED PROGRAM INSPECTION C HECKLIST x2101 x Street held, CA 93301 'Bakers 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 jp.spect Name /Title ❑ 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) ❑ CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H &S 25404(e) ❑ BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) N E " ro c.; w+ ; T 1 C ❑ :VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) El VERIFICATION OF QUANTITIES (CCR: 2729.4) . ❑ VERIFICATION OF LOCATION (CCR: 2729.2) ❑ PROPER SEGREGATION OF MATERIAL (CFC: 5004.1) ❑ SAFETY DATA SHEET AVAILABILITY (CCR: 2729.2(3)(b)) ,,ICJ ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731(c)) ❑ : EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5) El HOUSEKEEPING (CFC: 304:1) AfZ Ca t'l(� S'1Z7 S i 0 C 1, 1C iyv IUD Q iNys104 6 0 ❑ FIRE PROTECTION (CFC: 903 & 906) ❑ SITE DIAGRAM ADEQUATE& ON HAND (CCR: 2729.2 (3)) ANY :HAZARDOUS WASTE ON SITE? YES ❑ NO E x p.l a i n: Sig natuwof Receipt: 0 POST INSPECTION INSTRUCTIONS FOR RETURN -TO- COMPLIANCE: • Correct the violation(s) noted.above by -7 Signature (that all violations have been corrected as noted) • 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 Date White —Business Copy Yellow — Business Copy to be Sent in after return to.Compliance Pink Prevention Services Copy FD2155 (Rev 1/14)