HomeMy WebLinkAboutHAZMAT INSP 6-2012v
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UNIFIED PROGRAM INSPECTION_ CHECKLIST
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f 3301
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B ers field, CA.9
SECTION 1: Business Plan �and Inventory Program Tel.: (661) 326 =3979
Fax: (661) 852 -2171
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FACILITY NAME INSPECTION DATE INSPECTION TIME
ADDRESS PHONE NO. NO OF EMPLOYEES
12-3-3 E7
FACILITY CONTACT BUSINESS ID NUMBER
Consent to Inspect arn,e /Title
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI-AGENCY.
COMPLAINT. ❑ . RE- INSPECTION
c V (c= Compliance) O'P E RATION
V =Violation
COMMENTS
g] ❑ APPROPRIATE PERMIT ON HAND (BMC: 1.65.080
El BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR
2729:1
®T ❑ . VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
❑ CORRECT. OCCUPANCY (CBC
401)
❑ VERIFICATION OF INVENTORY MATERIALS (CCR
2729-3)
® ❑ VERIFICATION OF* QUANTITIES (CCR;
- 2729.4)
❑ VERIFICATION OF LOCATION (CCR
2729.2
zi ❑ PROPER SEGREGATION OF MATERIAL (CCR'
2704.1
0 ❑ VERIFICATION OF MSDS AVAILABILITY (CCR: 2729:2(3)(6
F1 VERIFICATION OF HAZ MAT TRAINING (CCR:
2732)
❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:
I
2731)
❑ ❑ EMERGENCY PROCEDURES ADEQUATE (CCR:
r
2731)
Q ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34(F), CFI
2703.
)
f ❑ HOUSEKEEPING (CFC:
304.1
,m
IJ ❑ FIRE PROTECTION (CFC: 903
& 9061
® ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR
2729.2
ANY HAZARDOUS WASTE ON SITE? ❑YES NO
ii nature of Receipt
Explain:
(POST INSPECTION INSTRUCTIONS:
• Refer to the back of this inspection report for regulatory citations and corrective actions
• Correct the violation(s) not above by
• Within 5 days of correcting all of trip 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 Pink Prevention
S
,✓'
\ N
gnature (that a kv r�Iations ave been corrected as noted) `
Date
ry ces Copy FD2155 (Rev 12/11)