HomeMy WebLinkAboutHAZMAT INSP 4/2015UNIFIED PROGRAM INSPECTION CHECKLIST
Haz-Mat Business Plan and Inventory Program
FACILITY NAME
COMMENTS
INSPECTION DATE
INSPECTION TIME
ze ci
0*4�0 APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
ADDRESS
3a
PHONE NO.
NO OF EMPLOYEES
FACILITY CONTACT
BUSINESS ID NUMBER
Consent to Inspect Name/Title
j P
D-"" ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4)
N, A i
❑ VERIFICATION OF LOCATION (CCR:"2729.2)
. .. ... . ROUTINE El ... COMBINED ❑ JOINT AGENCY ❑ MULTI-AGENCY ❑ COMPLAINT ❑ RE-INSPECTION
C V C=Compliance) OPERATION
V=Violation
COMMENTS
❑ VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
0*4�0 APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
R ❑ CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H&S 25404(e)
❑ BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
ESK ❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
D-"" ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4)
❑ VERIFICATION OF LOCATION (CCR:"2729.2)
PROPER SEGREGATION OF MATERIAL (CFC: 5004.1)
tffl ❑ SAFETY DATA SHEET AVAILABILITY (CCR: 2729.2(3)(b))
e ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731 (c))
ff ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
[Er ❑ HOUSEKEEPING (CFC: 304.1)
Er ❑ FIRE PROTECTION (CFC: 903 & 906)
20 ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? 9'**Y' ES ❑ NO
Explain:
Signature of Receipt:
POST INSPECTION INSTRUCTIONS FOR RETURN-TO-COMPLIANCE:
• Correct the violation(s) noted above by Signature (that all violations have been corrected as noted)
• Within 5 days of correcting all of the violations, sip and return a copy of this page to:
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
Date
White —Business Copy Yellow — Business Copy to be Sent in after, return to Compliance Pink Prevention Services Copy FD2155 (Rev 1/14)