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HomeMy WebLinkAboutHAZ-BUSINESS PLAN 3/18/2015BAKERSFIELD FIRE DEPT. --- Prevention Services UNIFIED PROGRAM INSPECTIOW- CHE-CKLIST 44 H °° E..R.•S..F•_]_ f__P 2101 H Street rv: FIRE v ?.N:vY.SiSf.vxi .v.:.xaa:n,u: :aaa:•aaaa:IX :.w:• . _.:nar; : n.:(:R:m: ...�:..,..:.r........ :... �....,<.>;: v:. �:. v :.:.:....:<a::.:,v.�ha:;:. <.... r. w. } ........:.....:.�.:.. :. ..::.. Bakersfield, CA 93301 Haz-Mat Business Plan and Inventory Program Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY -NAME INSPECTION DATE INSPECTION TIME P P •� ADDRESS ` PHONE NO. NO OF EMPLOYEES 00 FACILITY CONTACT BUSINESS ID NUMBER .� ,�` t.., �;� � * � Pi ^7y s" e, 't t �`~ 7' " � � ,.'F � � � i�+' }+ �Jl � �' 1. %•'~ t Consent to Inspect Name /Title,. 1 - r? r ,J3 ! ❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT 0 RE- INSPECTION • 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 COMMENTS aature (that all violations have been corrected as noted) k' Date Pink Prevention Services Copy FD2155 (Rev 1/14) C V ( u= uompuance) OPERATION V= Violation f ❑ ❑ VISIBLE ADDRESS (CFC: 505.1, BMC:15.52.020) ❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) `3 ❑fr ❑ 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) . a n Er ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4) [3' ❑ VERIFICATION OF LOCATION (CCR: 2729.2) ❑r ❑ PROPER SEGREGATION OF MATERIAL . (CFC: 5004.1) E ❑ SAFETY DATA SHEET AVAILABILITY (CCR: 2729.2(3)(b)) ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) EJ ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES �(CCR:2731(c)) F1 ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) 0 ❑ CONTAINERS PROPERLY LABELED _ (CCR: 66262.34 (f); CFC: 5003.5) ❑ HOUSEKEEPING (CFC: 304.1) ❑ ❑ FIRE PROTECTION (CFC: 903 & 906) ❑'. ❑ SITE DIAGRAM ADEQUATE & ON HAND F (CCR: 2729.2 (3)) ANY HAZARDOUS WASTE ON SITE? ❑ YES E NO Explain: Signature of Re4 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 COMMENTS aature (that all violations have been corrected as noted) k' Date Pink Prevention Services Copy FD2155 (Rev 1/14)