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HomeMy WebLinkAboutHAZ-BUSINESS PLAN 6/10/2015p, BAKERSFIELD FIRE DEPT. Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST y 2101 x Street ::....:.::..,.::::.. v..::...:. x:.::.:.::::...:...:..:.::....::..., :..J,::....v.J,..:.r::.:,:.J.JJ .::..: ::.:.... :.:.::...:.... r.. v::...:.::.:::. ::.,,.:....:... }...J:.:...,,.:: ,J . FIRE Bakersfield, CA Haz -Mat Business Plan and Inventory Program Tel.: (661) 326-397,9 Fax: (661) 852-217,"1 FACILITY NAME INSPECTION DATE ANSPECTIOMTIME ADDRESS PHONE NO. NO OF EMPLOYEES FACILITY CONTACT r BUSINESS ID NUMBER N J0 Consent to Inspect Name /Title r ...... .... .::...:.:.:.:.:::::;:,::::::,...:::::.:::::....:::.:.::::..;; J}; J> J;}:: JJ::: J:.; JJ:. JJJJ::;::: JJJ:;. J::;:.«:. J,.> J:; J;:. JJ:: J:::: J::>}}>::,:;:;:<:>:>:;:_>;>::;;::>::............ ::;::::;:;: >:: >:<: <::J,: < >: :. i ..B.0 .try Pl � . a. �. �a� ........................ :.............. ................ III �....M t .Irll � ...e�.....�. .......................... ... \1 ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C. V C= Compliance O P E RATION COMMENTS } V= Violation ❑ VISIBLE ADDRESS (CFC:505.1, BMC:15.52.020) M 6, ❑ APPROPRIATE PERMIT ON HAND (BMC:.15.65.080)'"^+ ❑ CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H &S 25404(e) /KNOW-ve ❑ BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) ❑ .61 VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) ❑ 19. VERIFICATION OF QUANTITIES (CCR: 2729.4) M ❑ VERIFICATION OF LOCATION (CCR: 2729.2) ❑ PROPER SEGREGATION OF MATERIAL (CFC: 5004.1 ) ❑ SAFETY DATA SHEET AVAILABILITY (CCR: 2729.2(3)(b)). ❑ 1 VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) i* ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731(c)) (� ❑ d EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5) Z ❑ HOUSEKEEPING (CFC: 304.1) "❑ ❑ FIRE PROTECTION (CFC: 903 & 906) ❑ SITE DIAGRAM ADEQUATE & Ot*,HAND (CCR: 2729.2 (3)) ANY HAZARDOUS WASTE ON SITE? IM YES .❑ NO i. Explain: Si nature of Receipt:' POST INSPECTION INSTRUCTIONS FOR RETURN -TO- COMPLIANCE: • Correct the violation(s) noted above by Signature (that a J'olations 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)