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HomeMy WebLinkAboutHAZ-BUSINESS PLAN 6/23/2015UNIFIED PROGRAM INSPECTION CHECKLIST Haz -Mat Business Plan and Inventory Program FACILITY NAME ADDRESS FACILITY C,ONTACT,, i on5 nt to Inspect NaM/Title BAKERSFIELD FIRE DEPT. Prevention Services F. ...S ....F . �:..n 2101 H Street FIRE ARTM T Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 852 -2171 INSPEdTION dA�T,E INSPECT N TIME PH ®N NO r ., •. NO OF1 MPLOYEES B,US1 LESS ID NUMBER q • 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 Jib ations, have 4een Gerrected as noted) Date Pink Prevention Services Copy FD2155 (Rev 1/14) rV ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT El RE- INSPECTION C V r C= Compliance) OPERATION l V= Violation COMMENTS M ❑ VISIBLE ADDRESS (CFC: 505.1, BMC:15.52.020) Qom. El APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) Eq� ❑ CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H &S 25404(e) C. ❑ BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) •w ❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4) C ❑ VERIFICATION OF LOCATION (CCR: 2729.2) Ljy ❑ PROPER SEGREGATION OF MATERIAL (CFC: 5004.1) L4 ❑ 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)) ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5) ❑ HOUSEKEEPING (CFC: 304.1) IJ: ❑ FIRE PROTECTION (CFC: 903 & 906) C7 ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3)) ANY HAZARDOUS WASTE ON SITE? ❑ YES 14: NO Explain: i nature of Recei' t ,r a, � e r a 4 POST INSPECTION INSTRUCTIONS FOR RETURN -TO- COMPLIANCE: i W U/ L I . �0 1.zl • 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 Jib ations, have 4een Gerrected as noted) Date Pink Prevention Services Copy FD2155 (Rev 1/14)