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HomeMy WebLinkAboutHAZ-BUSINESS PLAN 6/4/2015E L �4. BAKERSFIELD FIRE DEPT. :x aR Prevention Services UNIFIED PROGRAM INSPECTION CHECKLISTA 2101 H Street Bakersfield, CA Haz-Mat Business Plan and Inventory Program Tel.: (661) 326 -3979 Fax: (661) 852-2171. FACILITY NAME INSPECTION DATE INSPECTION TIME 7 ADDRESS r PHONE NO. NO OF EMPLOYEES FACILITY CONTACT BUSINESS ID NUMBER «...� •(,�,a,:(-� a`" �."+ ..�., %` t:..�+�f�y� , r x.5.k:• �.. �" t ? :"""". u' :�..:,�..+� ' V f a ,,,r' i ;,�,!' Consent to Inspect NamejFitle ` ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C V ( c =(;ompilance) OPERATION COMMENTS V= Violation dD''� ❑ VISIBLE ADDRESS (CFC: 505.1, BMC:15.52.020) p ❑' APPROPRIATE PERMIT ON HAND oul (BMC: 15.65.080) i CERS UPDATED FOR THE CURRENT CALENDAR YEAR 4H &S 25404(e) /L•. yQY p )u A),_,-2 R • f.S fir` e'J i y _,d: 3 C t' 13 BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) T 0" ❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) r �'1 4 VERIFICATION OF QUANTITIES (CCR: 2729.4) 14 vi ( VERIFICATION OF LOCATION (CCR: 2729.2) 0" ❑ PROPER SEGREGATION OF MATERIAL (CFC: 5004.1) , r ❑ SAFETY DATA SHEET AVAILABILITY (CCR: 2729.2(3)(b)) Q " 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) E3 FIRE PROTECTION (CFC: 903 & 906) -� El SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3)) ANY HAZARDOUS WASTE ON SITE? ❑ YES i NO Explain: i nature of Receipt- POST INSPECTION INSTRUCTIONS FOR RETURN -TO- COMPLIANCE: 'Ivy r 'e { j • Correct the violation(s) noted above by �� % 2; �` I, Signature (that all violations havebeen corrected as noted) • 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 Date White — Business Copy Yellow — Business Copy to be Sent in after return to Compliance Pink Prevention Services Copy FD2155 (Rev 1/14)