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Home My WebLink AboutHAZ-BUSINESS PLAN 6/4/2015t, rAR BAKERSFIELD FIRE DEPT. Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST;;; n 2101 HStreet fe A 93301 Bakersfield, C Bak HaZ -Mat Business Plan and Inventory Program Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME 11.80ECTION DATE INSPECTION TIME ADDRESS PHONE NO. NO OF EMPLOYEES FACILITY CONTACT BUSINESS ID NUMBER Consent to Inspect Name /Title • 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 j(that all violations have been corrected as noted) Date Pink Prevention Services Copy FD2155 (Rev 1/14) ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v C= Compliance) OPERATION V= Violation COMMENTS Qr ❑ VISIBLE ADDRESS (CFC: 505.1, BMC:15.52.020) Cl ❑ APPROPRIATE PERMIT ON HAND (BMC: 15. 65.080) ❑ CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H &S 25404(e) • `awe✓ � f�Xr.T 3! .' i . %�A.+.' ', /J�dLiYr✓' ❑" ❑ BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) ❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) x ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4) ❑ VERIFICATION OF LOCATION (CCR: 2729.2) C� ❑ 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)) LJ ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5) ►r-i ❑ HOUSEKEEPING (CFC: 304.1) ❑`. ❑ FIRE PROTECTION (CFC: 903 & 906) , 3` ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3)) ANY HAZARDOUS WASTE ON SITE? ❑ YES Lr'NO Explain: ISignature of Recei ti • 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 j(that all violations have been corrected as noted) Date Pink Prevention Services Copy FD2155 (Rev 1/14) BAKERSFIELD FIRE DEPT. Prevention Services B UNIFIED PROGRAM INSPECTION CHECKLIST 1 F R 8 F I L n 2101 H Street FIRE ARTM T Bakersfield, CA 93301 Haz-Mat Business Plan and Inventory Program Tel.: (661) 326-3979 Fax: (661) 852-2171 FACILITY NAME INSPECTION DATE INSPECTION TIME Aar_ 2%6&/Ty /11X_1 . ADDRESS PHONE NO. NO OF EMPLOYEES IM,O) e. 38 - _1411A'1�1 '4_61C 4P 41a—1 �0�_7 L FACILITY CONTACT BUSINESS ID NUMBER Consent to Inspect Name/Title 1 �jROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI-AGENCY ❑ COMPLAINT El RE-INSPECTION I C V C=Compliance) OPERATION V=Violation COMMENTS El' ❑ VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) d ❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) F-1 R UPDATED FOR THE CURRENT CALENDAR YEAR (H&S 25404(e) Ef ❑ BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) d ❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) ❑ 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)) P/ ❑ 4 VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) gf 1:1 VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731 (c)) 0/ ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) Pr ❑ Z CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5) ❑ HOUSEKEEPING (CFC: 304.1) r-1 FIRE PROTECTION (CFC: 903 & 906) ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3)) ANY HAZARDOUS WASTE ON SITE? ❑ YES NO Explain: I Si nature of Receipt: I POST INSPECTION INSTRUCTIONS FOR RETURN-TO-COMPLIANCE: • 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 e � z/ Signature (that all violations bf?ve been corrected as noted) 6 A// Date Pink Prevention Services Copy FD2155 (Rev 1/14)