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HomeMy WebLinkAboutHAZ-BUSINESS PLAN 5/26/2015BAKERSFIELD FIRE DEPT. Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST1 FIRE ... .. EA. ' F I P 11 E 2 1-01 H Street ARrm r Bakersfield, CA 93301 Haz-Mat Business Plan and Inventory Program Tel.: (661) 326-3979 Fax: (661) 852-2171 FACILITY NAME V INSeE.QTION DATE INSPECTION TIME COMMENTS ❑ VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) [5 ❑ APPROPRIATE PERMIT ON HAND ADDRESS PHONE NO. NO OF EMPLOYEES CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H&S 25404(e ; - 7 7 < FACILITY CONTACT BUSINESS PLAN CONTACT INFORMATION ACCURATE BUSINESS ID NUMBER ❑ ❑ Consent to Inspect Name/Title (CCR: 2729.3) ................... ....... .. ...... ........................ ............ . .. . . .. . . .. . . . ........ . ❑ RE-INSPECTION ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI-AGENCY ❑ COMPLAINT "ipm C V C=Compliance) OPERATION V=Violation COMMENTS ❑ VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) [5 ❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) ❑ ❑ 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) 0 ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4) 11� '0 ❑ VERIFICATION OF LOCATION (CCR: 2729.2) .E] ❑ PROPER SEGREGATION OF MATERIAL (CFC: 5004.1) ❑ SAFETY DATA SHEET AVAILABILITY (CCR: 2729.2(3)(b)) ,(3"" ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) 12' ❑ 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) ❑ ❑ FIRE PROTECTION (CFC: 903 & 906) ❑ SITE DIAGRAM ADEQUATE & ON HAND (CC-R: 2729.2 (3)) ANY HAZARDOUS WASTE ON SITE? ❑ YES Li,-9b Expl.ain: b <t7�'ic AAJ�- A i2 nature of Receipt: POST INSPECTION INSTRUCTIONS k'OR RETURN-TO- C-OMPLIANUE: • 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) n Date Pink Prevention Services Copy FD2155 (Rev 1/14)