HomeMy WebLinkAboutUPI CHECKLIST (2)UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION xt : Hazardous Materials Business Plan
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FACILITY NAME INSPE C)TIIiON DATE INSPECTION TIME
ADDRESS
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PljgNE NO. rell-
NO OF EMPLOYEES
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FACILITY CONTACT .-:.,, BUSINESS ID NUMBER
Consent to Inspect Name /Title
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ROUTINE COMBINED JOINT AGENCY MULTI - AGENCY COMPLAINT RE- INSPECTION
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o.mp lanceCV 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) T -
CORRECT OCCUPANCY (CBC: 401).
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) 1010004
VERIFICATION OF QUANTITIES (C.CR: 2729.4) 1010006
VERIFICATION OF.LOCATION (CCR: 2729.2)
PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
VERIFICATION OF AVAILABILITY (CCR`. 2729.2(3)(b))'' PQ
q SDS
4 ,+ t d VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) 1020002
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2731(c)) JET L.. , t,i s i7 ' -%` €"
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR:
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) 1010010
f CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5) 3030007
d
HOUSEKEEPING (CFC: 304.1)
FIRE PROTECTION (CFC: 903 & 906) 3030032
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) 1010005:
ANY HAZARDOUS WASTE ON SITE? El YES. ®I`NO Si2nature ofRecei t
Explain Li<,
P
Inspector: 4 :. A A, s
POST INSPECTION INSTRUCTIONS
Correct the violation(s) noted above by
Within 5 days of correcting all of the violations, sign and return a copy ofthis page to:
Bakersfield Fire Dept., Prevention, Services, 2101 H Street, California 93301.
White —Business Conv Yellow —. Station Copy Pink Prevention Services
Jlgnature (tnat au vioianons navo uccii L;uncuLcu ab iivacu)
Date
FD2155 (Rev 8//14)
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