HomeMy WebLinkAboutHAZMAT INSP 7/8/2015UNIFIED PROGRAM INSPECTION CHECKLIST
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Haz-Mat Business Plan and Inventory Program
FACILnNAME
-kc)k 7-1
INSPECf ION ATE
INSPECTION TIME
ADDRESS
14-
PHONE' 9. OF EMPLOYEES
0�2
40" / 0
FAC+ITY CONTACT
L/
BUSINESS ID NUMBER
I/- ❑
Consent to Insp1ect Namtie /Tiitle
� f
UNb11tUU11V1Nb tUJK.KEIU.KiN-IV-I—VIVIJrUI.AiN%_ivl;
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• Correct the violation(s) noted above by Signature ha a violations have been corrected as noted)
• 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 s'
Date
White . —Business Copy Yellow — Business Copy to be Sent in after return to Compliance Pink Prevention Services Copy FD2155 (Rev 1/14)
C=Compliance ) OPERATION
COMMENTS
V=Violation
I/- ❑
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
EY ❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
❑
CERS UPDATED FOR THE CURRENT CALENDAR YEAR
(H&S 25404(e)
Ce ❑
BUSINESS PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
Er' ❑
PROPER SEGREGATION OF MATERIAL
(CFC: 5004.1)
❑
SAFETY DATA SHEET AVAILABILITY
(CCR: 2729.2(3)(b))
❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731 (c))
❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
❑
CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
❑
HOUSEKEEPING
(CFC: 304.1)
❑
FIRE PROTECTION
(CFC: 903 & 906)
❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2 (3))
ANY HAZARDOUS
WASTE ON SITE? ❑ YES
NO
Al
Explain:
Signature of Recei pt:
UNb11tUU11V1Nb tUJK.KEIU.KiN-IV-I—VIVIJrUI.AiN%_ivl;
f_4
• Correct the violation(s) noted above by Signature ha a violations have been corrected as noted)
• 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 s'
Date
White . —Business Copy Yellow — Business Copy to be Sent in after return to Compliance Pink Prevention Services Copy FD2155 (Rev 1/14)