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HomeMy WebLinkAboutHAZ-BUSINESS PLAN 5/26/2015BAKERSFIELD FIRE DEPT. :v Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST k ..... .......R.__S. -.F - -I 2101 H Street >; FIRE :aa:a Y <' Haz -Mat Business Plan and Inventory Program Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME INSPECTION DATE INSPECTION TIME r 4 ADDRESS g p PHONE NO. NO OF EMPLOYEES FACILITY CONTACT BUSINESS ID NUMBER Consent to Inspect Name /Title ❑ 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) LI ❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) ❑ ❑ CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H &S 25404(e) r m Ej ❑ BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) Q ❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) E( ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4) ❑ VERIFICATION OF LOCATION (CCR: 2729.2) L� ❑ PROPER SEGREGATION OF MATERIAL (CFC: 5004.1) El ❑ SAFETY DATA SHEET AVAILABILITY (CCR: 2729.2(3)(b)) El ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) 0 ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731(c)) 0/ ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) lQ ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34 (t); CFC: 5003.5) d ❑ HOUSEKEEPING (CFC: 304.1) ❑ FIRE PROTECTION (CFC: 903 & 906) ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3)) ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO Explain : I nature?of Receipt: - r 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 r e Signature (that all violations have been corrected as noted) Date Pink Prevention Services Copy FD2155 (Rev 1/14)