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HAZ-BUSINESS PLAN 1/8/2015
s i BAKERSFIELD FIRE DEPT. ` A F R R F t Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST $ - .... .._A 2101 H Street FIRE :G.:3:y;v ?? ?6: ^ }ah }:•:tea: +•.:•:.;:i ?•::: ?.n: ?i??•:i{•:•:;•:n: i ?•ra: ?v'4 } }h : }'1..: ::•'. h::? nY. J. l' i:• v}:.: pyv,.} i\',._ r.:.,: in}}}} } }h�fnn:?. > }'. }:i ^ } »'•::C:.0 }�: :.:::.Y.� ? : ;•}a} .......:: ............... .n.n...... .. r......:. ..... .:'..::.?:}:a < » }::}: ??? n:}:. i, ao;; a:. a.}.::. Aa: af`• }::v,.aafi:iia:a:.ii:::A:i:: +;t: "v;?t iJ:. ••. ...::.:. ......... ...C. n. ...:.r..wa.....r....n......xi.: n.......:....n ...n.... :..rn::.:.} :::<:::::..::::.}..::...:a::>, n}> r.:.. r.< ..:..:. ». :..:.:n...n...u:: < }:.: :.r:.::. :: }n.::n .:n.:n..... >.... ,:........ <.. <.,..w, r..,... <.t :.: � R rM r Bakersfield, CA 93301 HaZ -Mat Business Plan and Inventory Program Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME INSPECTION DATE INSPECTION TIME 1 (-)- 4 ADDRESS PHONE NO. NO OF EMPLOYEES FACILITY CONTACT BUSINESS ID NUMBER C.onsent to Inect Name /Title ❑ ROUTINE W COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY CI COMPLAINT ❑ RE- INSPECTION C V ( C= Compliance OPERATION COMMENTS V =Violation ' ❑ VISIBLE ADDRESS (CFC: 505.1, BMC:15.52.020) ❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) "/El re4 C / iL /&V or V VV0 U S r / Aj F 0 ❑ CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H &S 25404(e) ,, jo.7 ❑ BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) ❑ r VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) El VERIFICATION OF QUANTITIES (CCR: 2729.4) f' ❑ VERIFICATION OF LOCATION (CCR: 2729.2) ❑ PROPER SEGREGATION OF MATERIAL (CFC: 5004.1) /0 ❑ SAFETY DATA SHEET AVAILABILITY (CCR: 2729:2(3)(6)) a' ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) a' ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731(c)) �rE ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); dFC: 5003.5) ©- ❑ HOUSEKEEPING (CFC: 304.1) ❑% ❑ FIRE PROTECTION (CFC: 903 & 906) 0' ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2(3)) ANY HAZARDOUS WASTE ON SITE? ❑ YES /0'NO E x p l a i n: Si nature o f Recei s -'wry POST INSPECTION INSTRUCTIONS FOR RETURN -TO- COMPLIANCE: Correct the violation(s.) noted above by Signature (that all violations have been 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)