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HomeMy WebLinkAboutHAZ-BUSINESS PLAN 2/17/2015aRTM BAKERSFIELD FIRE DEPT. Prevention Services UNIFIED PROG RAM INSPECTION CHECKLIST 2101 H street Bakersfield; CA 93301 HaZ -Mat Business Plan and Inventory Program Tel.: '(661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME INSPECTIG�N DATE INSPECTION TIME ADDRESS PHONE NO. NO OF EMPLOYEES FACILITY CONTACT BUSINESS ID NUMBER Consent to Inspect Name /Title ... ....... . . . . . . . . . . ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C V i C= Compliance) OPERATION COMMENTS V= Violation [] —❑ 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) Q> ❑ BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) ❑ ❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) '4 ❑ ❑ 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) ❑ ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) ❑ ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731(c)) i a _oN ❑ ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) ❑ ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5) fe ❑ ❑ HOUSEKEEPING (CFC: 304.1) ❑ ❑ FIRE PROTECTION (CFC: 903 & 906)} 6 ❑ ❑ SITE DIAGRAM ADEQUATE .& ON HAND (CCR: 2729.2 (3)) ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO Explain: Signature of Receipt: Y0S'j'J- VSFEU'1'10N 11VS1'KUU'1'10NS 1+'UK KL+''1'UKN- '1'U- U(J1V1YL1A1NUh: ..,..mom...... .-„� 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) Date Pink Prevention Services Copy FD2155 (Rev 1/14)