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HomeMy WebLinkAboutHAZ-BUSINESS PLAN 5/22/2015aRrN BAKERSFIELD FIRE DEPT. Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST 2101 HStreet .t'u:�'.G:'� ^�? � : .v:Bakersfield, Haz-Mat Business Plan and Inventory Program Ter.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME INSPECTII N DATE INSPECTION TIME p COMMENTS El' ADDRESS PHONE NO. NO OF EMPLOYEES ❑ APPROPRIATE PERMIT ON HAND FACILITY CONTACT BUSINESS ID NUMBER ,0r ,u El 1- r ' Consent to Inspect Name /Title ❑ BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) > ?i Ee >: ? i >..... '''`i'<i >[iiitz'ii jZ' ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C V ( C= Compliance OPERATION V= Violation COMMENTS El' ❑ VISIBLE ADDRESS (CFC: 505.1, BMC:15.52.020) ❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) ,0r ,u El CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H &S 25404(e) r ' ❑ BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) ❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) LI ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4) [3` ❑ VERIFICATION OF LOCATION (CCR: 2729.2) ❑"e ❑ PROPER SEGREGATION OF MATERIAL (CFC: 5004.1) 0' ❑ SAFETY DATA SHEET AVAILABILITY (CCR: 2729.2(3)(b)) ❑r ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) J2r, ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731(c)) E] El EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5) ❑ HOUSEKEEPING (CFC: 304.1) A ❑ FIRE PROTECTION (CFC: 903 & 906) s ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3)) ANY HAZARDOUS WASTE ON SITE? ❑ YES a[' NO Explain: Si nature of Receipt: YU5'1' 1NSFEC11UN LNS'1•KUI;140NS VOK KLi''1•UK1N- U- UU1V1rL1ANUh: • 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 Itj(Jj{{"ffjj� Signature (that all violations havebeen corrected as noted) 1< Date ` Pink Prevention Services Copy FD2155 (Rev 1/14).