HomeMy WebLinkAboutUPI CHECKLIST (2)1 /'VILI I 1 I,Yll1V14 - • v i •- •-v ..v
A/10
ADDRESS PHONE NO. NO OF EMPLOYEES
FACILITY CONTACT BUSINESS ID NUMBER
Consent to Inspect Name /Title
S,
9
ROUTINE ,.COMBINED JO.INT AGENCY , MULTI- AGENCY COMPLAINT El RE-,INSPECTION;;
C=ComplianceCV ( ) OPERATION COMMENTS
V"-Violation
APPROPRIATE PERMIT ON.HAND (BMC: 15.65.080)
Business PLAN CONTACT' INFORMATION ACCURATE (CCR; 2729.1)
VISIBLE ADDRESS CFC: 505.1, BMC: 15.52.020)
CORRECT OCCUPANCY CBC: 401)
ICI VERIFICATION OF INVENTORY MATERIALS CCR: 2729.3)
Ja 0 VERIFICATION OF QUANTITIES CCR: 2729.4)
ET' VERIFICATION OF LOCATION CCR: 2729.2)
PROPER SEGREGATION OF MATERIAL CFC: 2704.1)
VERIFICATION OF MSDS AVAILABILITY CCR: 2729.2(3)(b))
Ll VERIFICATION OF HAZ.MAT TRAINING CCR; 2732):
Ile
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES. (CCR: 2731(c))
EMERGENCY .PROCEDURES ADEQUATE CCR: 2731)
CONTAINERS PROPERLY LABELED . CCR: 66262.34(f); CFC: 2703.5)
J311, El HOUSEKEEPING CFC: 304:1)
FIRE PROTECTION CFC: 903 &.906)
mil SITE DIAGRAM ADEQUATE & ON HAND . CCR: 2729.2)
ANY H A ZA R D'O US WAS:TE ON SITE? YES NO Signature ofReceipt
Explain:
POST INSPECTION INSTRUCTIONS:
Correct the violation(s) noted above by Signature (that all violations have been corrected as noted)
Within 5 days .of correcting .all ofthe violations,' sign and return'a copy ofthis page to: