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HomeMy WebLinkAboutHAZ-BUSINESS PLAN 6/4/2015BAKERSFIELD FIRE DEPT. Prevention Services F R s - -' F L_D 2101 H Street UNIFIED PROGRAM INSPECTION CHECKLISTI -F1 . R _ E ARF 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 G - EMPLOYEES PHONE NO. NO OF ADDRESS I ­' 9 a 0 3-Z3 - '�& <> `4,­( FACILITY CONTACT BUSINESS ID NUMBER 7 -7 a_s C Consent to Inspect Name/Title I� ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI-AGENCY ❑ COMPLAINT ❑ RE-INSPECTION C V C=Compliance) OPERATION V=Violation COMMENTS ❑/' ❑ VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) E ❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) 19/ ❑ CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H&S 25404(e) DO/ ❑ BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) 2" ❑ 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) El/ ❑ SAFETY DATA SHEET AVAILABILITY (CCR: 2729.2(3)(b)) 20 1:1 VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) El/ 171 VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731 (c)) E30" 1:1 EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) E ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5) Ek"� n HOUSEKEEPING (CFC: 304.1) & ❑ FIRE PROTECTION (CFC: 903 & 906) a 171 SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3)) ANY HAZARDOUS WASTE ON SITE? ❑ YES 1 7N_0 Explain: Signature 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 Rink Prevention Services Copy I FD2155 (Rev 1/14)