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HAZ-BUSINESS PLAN 2/5/2015
a0f BAKERSFIELD FIRE DEPT. Prevention. Services UNIFIED PROGRAM INSPECTION CHECKLIST:' 2101 HS Bakersfield, CA 93301 Haz-Mat Business Plan and Inventory Program Ault& Tel.: (661) 326 -3979 Fax: (661) 852 -2171 Vc FACILITY NAME INSPECTION DATE INSPECTION TIME COMMENTS ADDRESS PHONE NO. s0. NO OF EMPLOYEES El. FACILITY CONTACT BUSINESS ID NUMBER (BMC: 15.65.080) Consent to Inspect Name /Title ❑ CERS UPDATED FOR THE CURRENT CALENDAR YEAR XX ...............:... ec.tll :ar�:..'�::...::N.a � ..: :Mst..rII:.�s...B�l..�:n.. �l n..an. I.:.�*...'t.�►................ �:...................................... ..............................: S za ....*. ........ .... _ . ..... . ❑ ROIL INE ❑ COMBINED El JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑k RE- ,INSPECTION C V ( C =Compliance OPERATION V= Violation COMMENTS ❑ VISIBLE ADDRESS (CFC: 505.1, BMC:15.52.020) El. ❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) KI ❑ CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H &S 25404(e) 91 ❑ BUSINESS PLAM;CONTACT INFORMATION ACCURATE (CCR: 2729.1) .0 ❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) El ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4) ❑ VERIFICATION OF LOCATION (CCR: 2729.2) J ❑ PROPER SEGREGATION OF MATERIAL (CFC: 5004.1) -0 ❑ SAFETY DATA SHEET AVAILABILITY (CCR: 2729.2(3)(b)) ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) Er ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR :2731(c)) U ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) P ❑, CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5) JED ❑ C=IOUSEKEEPING (CFC: 304.1) ❑ FIRE PROTECTION (CFC: 903 & 906) © ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3)) ANY HAZARDOUS WASTE ON SITE? ❑ YES X NO E x p I a i'n ; i natu `of Recei tit YU'S'1' 1N5YL:C;'1'1UN INN'FKUI:y0NN YOR K '1'UKN-'1'Ud;UMYLIANUE: • 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 V,,. Signature (that all violations have been corrected as noted) Date Pink Prevention Services Copy FD2155 (Rev 1/14)