HomeMy WebLinkAboutHMPB 5/26/2016UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1 Hazardous Materials Business Plan
Ins ion
FACILITY NAME
INS, CTION DATE INSPECTION TIME
ADDRESS PHONE NO � NO OF EMPLOYEES
FACILITY CONTACT BUSINESS ID NUMBER
Consent to Inspect Name/Title
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(,ROUTINE ❑ COMBINED ❑ JOINTAGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
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(,ROUTINE ❑ COMBINED ❑ JOINTAGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V, omp lance OPERATION C E R S
V =violation; 1,11 Minor Violation COMMENT
APPROPRIATE PERMIT ON HAND (BMC:15.65.080) 3010001 :?
` BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) 1010008
VISIBLE ADDRESS (CFC: 505.1, BMC:15.52.020)
CORRECT OCCUPANCY (CBC: 401)
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) 1010004
VERIFICATION OF QUANTITIES (CCR: 2729.4) 1010006
•, VERIFICATION OF LOCATION. (CCR: 2729.2)
PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b))
VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) 1020002
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) 1010010
A CONTAINERS PROPERLY LABELED (CCR: 66262.34 ft CFC: 2703.5) 3030007
HOUSEKEEPING (CFC: 304.1)
J FIRE PROTECTION (CFC: 903 & 906) 3030032
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) 10100,05„
ANY HAZARDOUS WASTE ON SITE? ❑ YES ,Ap NO Signitgee ofReceii t "
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Inspector:
POST INSPECTOON INSTRUCTIONS:
• 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: Signature (that all violations have been corrected as noted)
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
Date
White — Business Copy Yellow — Station Copy Pink — Prevention Services
FD2155 (Rev 8//14)
d4
Explain:
Inspector:
POST INSPECTOON INSTRUCTIONS:
• 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: Signature (that all violations have been corrected as noted)
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
Date
White — Business Copy Yellow — Station Copy Pink — Prevention Services
FD2155 (Rev 8//14)
d4