HomeMy WebLinkAboutHAZMAT INSP 5/2015UNIFIED PROGRAM INSPECTION CHECKLIST
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Haz-Mat Business Plan and Inventory Program
FACILITY NAME
ADDRESS
/2-y it e 1 y .
FACILITY CONTACT
.,
'onkp,t to Inspect Name /Title
INSPECTION DATE INSPECTION TIME
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�r. PHO E NO. NO OF EMPLOYEES
BUSINESS ID NUMBER
ROUTINE ❑ 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)
❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
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❑
CERS UPDATED FOR THE CURRENT CALENDAR YEAR
1 (H &S 25404(e)
❑
BUSINESS PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
L�
❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
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❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
01
f
❑
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)
0'
❑
HOUSEKEEPING
(CFC: 304.1)
❑
FIRE PROTECTION
(CFC: 903 & 906)
❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? / 'YES ❑
A t 0;
NO
Explain:
S' naure of Receipt
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• 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 Copy Yellow — Business Copy to be Sent in after return to Compliance
Signature (that all violations have been corrected as noted)
Date
Pink Prevention Services Copy FD2155 (Rev 1/14)