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HomeMy WebLinkAboutHAZ-BUSINESS PLAN 4/30/2015BAKERSFIELD FIRE. DEPT. Prevention Services A... E. R S F . i .. . UNIFIED PROGRAM INSPECTION CHECKLIST - = _ 2101 H Street FIRE Bakersfield, CA 93301. Haz-Mat Business Plan and Inventory Program Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY. NAME INSPECTION DATE INSPECTION TIME J ADDRESS PHONE NO. NO OF EMPLOYEES FACILITY CONTACT BUSINESS ID NUMBER Consent to Ins ct Name /Title k f f n j ..>';' ii; itE i+£ ti?;< r;:< i?;< !` <z <is>iii�fiz�i''z'i� "'t`'Eas� iii' iii# i'< iEi' �<" �? i% izszE; zs' se;"`%£' is> zs£< i; i;; f;'< E; Eiil>:'; i?^' i'; isii? �3r' i' i3isa +iiEi #z5(<i;ii;(i<<i`'s'ii3' :. ................. t1..........P .± ...rte ....,.......... ..........................•.... ROUTINE ❑ COMBINED ❑ .JOINT AGENCY El MULTI -AGENCY ❑. COMPLAINT RE- INSPECTION C V, ! C= Compliance OPERATION. l V= Violation. COMMENTS ❑ VISIBLE ADDRESS (CFC: 505.1; BMC: 15.52.020) ❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.687) ❑ CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H &S 25404(e) ❑ BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) EEO ro �' -❑ VERIFICATION OF INVENTORY MATERIALS _,.,• (CCR: 2729.3) ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4} 12"' ❑ VERIFICATION OF LOCATION (CCR: 2729.2) CT` ❑ 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)) T" ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5) ❑ HOUSEKEEPING (CFC: 304.1) ' �❑ FIRE PROTECTION (CFC: 903 & 906) 2- ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3)) ANY HAZARDOUS WASTE ON SITE? ES 1NO -. Explain: i nature of Recei t: POST INSPECTION INSTRUCTIONS FOR RETURN -TO- COMPLIANCE: • Correct the violation(s) noted above by d `'� 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)