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HomeMy WebLinkAboutHAZ-BUSINESS PLAN 5/11/2015BAKERSFIELD FIRE DEPT. Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST * A.... F...R...s...F...r. -� 2101 H Street F /RE . .. .............n.....:....n...... x. ...:.n...:e..... :...........:.. �':�:v. .. .vf. ::v:: ;vY ......:. ...:. xvv::•• :• ::. }Y.v. .:.:vv,:.: v{ vt:•:tiv)::ry,..:. }:•: w ....: } Yhd J V n...:n..:�nn.n.v,v.v. ::. ...;;... :..: :;.: P::,: :•:.y.•.;:: •:: +.r :x: : :vx v ::vv : 1 ...... .. ..... v..:. :::::.........wS:ti:Y::.i::.:•nv : :: !M:: %4ri{Lw�• x. n'� . y.. .. ::.+G:•i':n}'k:i� }�:$:y:...: }v� ::�•.'v,: �'j:•u:fJ�•''4:}�:.: ....w.. Bakersfield, CA 93301 HaZ -Mat Business Plan and Inventory Program Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME INSPECTION DATE INSPECTION TIME CG ADDRESS PHONE NO. NO OF EMPLOYEES COMMENTS ❑ VISIBLE ADDRESS (CFC:505.1, BMC:15.52.020) FACILITY CONTACT^ BUSINESS ID NUMBER APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) 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) "- ❑ 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) �L,:I�'❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4) ❑ VERIFICATION OF LOCATION - (CCR: 2729.2) ❑ PROPER SEGREGATION OF MATERIAL (CFC: 5004.1) - ❑ SAFETY DATA SHEET AVAILABILITY (CCR: 2729.2(3)(b)) off" ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) F2r_0 VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731(c)) ❑. EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) ❑ ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5) ` t�l ❑ HOUSEKEEPING (CFC: 304.1) ❑ FIRE PROTECTION (CFC: 903 & 906) ❑ ,jefl SITE DIAGRAM ADEQUATE & ON HAND {CCR: 2729.2 (3)) ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO Explain: i nature of Receipt: g ¢( /J7 + Correct the violation(s). noted above by r • 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 Date Pink Prevention Services Copy FD2155 (Rev 1/14) .