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HomeMy WebLinkAboutHAZ-BUSINESS PLAN 1/28/2015r BAKERSFIELD FIRE DEPT. Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST A.... F..- R- s- -F..T- �:.n 2101 HStreet ,« Nf FIRE ARM Bakersfield, CA 93301 Haz -Mat Business Plan and Inventory Program Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME INSPECTION DATE INSPECTION TIME ZIf + " * � 01.5 —A41 Y' ADDRESS y �_ ,� + PHON,Et NO. NO OF EMPLOYEES " i E r w;. r,'�'Ls f ::r £ a s fir" 4,P5, FACILITY CONTACT BUSINESS ID NUMBER Consent to Inspect Name /Title ❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C V c C= Compliance) OPERATION V =Violation COMMENTS ❑ VISIBLE ADDRESS (CFC: 505. 1, 6 MC: 15.52.020) ❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) � 7 } r 2 ❑ CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H &S 25404(e) ❑ BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) ❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4) ❑ VERIFICATION OF LOCATION (CCR: 2729.2)^'�'_ L ❑ PROPER SEGREGATION OF MATERIAL (CFC: 5004.1) ❑ SAFETY DATA SHEET AVAILABILITY (CCR: 2729.2(3)(b))dq ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) ,r A 'e ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731(c)) ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f);,CFC: 5003.5) M ' ❑ HOUSEKEEPING (CFC: 304.1) ❑ FIRE PROTECTION (CFC: 903 & 906) ql 'r# + � 45 ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3)) _ ANY HAZARDOUS WASTE ON SITE? YES 11 NO / Explain: 1 f ,`,a = t- Fl 114, z Cl i nature of Receipt: 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 Signature (that all violations have been corrected as noted) Date Pink Prevention Services Copy FD2155 (Rev 1/14) 1