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HomeMy WebLinkAboutHAZ-BUSINESS PLAN 2/4/2016FACILITY NAME I I SP CTION DATE INSPECTION TIME C V r C= Compliance l V= Violation OPERATION w COMMENTS ADDRESS I /�_' [) P Aj PHONE NO. NO OF EMPLOYEES -.1 , # 1 � e ':�' ,Ef ❑ BUSINESS PLAN CONTACT INFORMATION FACILITY CONTACT ❑ VERIFICATION BUSINESS ID NUMBER (CCR: 2729.3) +` ❑ ❑ VERIFICATIONIOF QUANTITIES (CCR: 2729.4) Li ❑ VERIFICATION OF LOCATION Consent to Inspect Name /Title ❑ PROPER SEGREGATION OF MATERIAL ❑ ROUTINE I❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION POST INSPECTION INSTRUCTIONS FOR RE TURN-TO-COMPLIANCE: • Correct the violation(s) nod ed above by Signature (that all violations have been corrected as noted) • Within 5 days of correctin g all of the violation 3, sign and return a copy of this page to: k i Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301 Date White —Business Copy Yellow — Business Copy o be Sent in after return to Compliance Pink Prevention Services Copy FD2155 (Rev 1/14) I C V r C= Compliance l V= Violation OPERATION COMMENTS l ❑ VISIBLE ADDRESS" (CFC: 505.1, BMC:15.52.020) Me" 1:1 APPROPRIATE PERMIT ON HAND r (BMC: 15.65.080) E ❑ CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H &S 25404(e) ,Ef ❑ BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) ❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) ❑ ❑ VERIFICATIONIOF QUANTITIES (CCR: 2729.4) Li ❑ VERIFICATION OF LOCATION (CCR: 2729.2) ❑ PROPER SEGREGATION OF MATERIAL (CFC: 5004.1) ❑ SAFETY DATA SHEET AVAILABILITY i (CCR: 2729.2(3)(b)) E3 ❑ VERIFICATION OF HAZ MAT TRAINING I (CCR: 2732) E ❑ VERIFICATION OF ABATEMENT SUPPLIES i AND PROCEDURES (CCR:2731(c)) I ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5) ❑ HOUSEKEEPING I (CFC: 304.1) ❑ FIRE PROTEC 11 ION I (CFC: 903 & 906) [�T­ ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3)) ANY HAZARDOUS WASTE ON SITE? I i C1 YES ❑ NO E x p l a i n:+ J •. a t f° i nature of Receipt: POST INSPECTION INSTRUCTIONS FOR RE TURN-TO-COMPLIANCE: • Correct the violation(s) nod ed above by Signature (that all violations have been corrected as noted) • Within 5 days of correctin g all of the violation 3, sign and return a copy of this page to: k i Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301 Date White —Business Copy Yellow — Business Copy o be Sent in after return to Compliance Pink Prevention Services Copy FD2155 (Rev 1/14)