HomeMy WebLinkAboutHAZMAT 2015UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION xt : Hazardous Materials Business Plan
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FACILITY NAME
INSPE�C)TIIiON DATE
INSPECTION TIME
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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 lance
C V 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
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4 ,�+�
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VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
1020002
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2731(c))
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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 & 90 6)
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 of this 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)
6
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