HomeMy WebLinkAboutHAZMAT INSP 4/2/2015Spq OP
a _
UNIFIED PROGRAM INSPECTION CHECKLIST
S E CT I O N 1: Hazardous Materials Business Plan
Inanpctinn
FACILITY NAME
<.< .a. , x { :. x.., E f , ..,,.. xv .. ,. ,.. '':a,....,Wfisx Y '.i.. r C. .. :+ .: , >,1f ,.. � ,•.m'> xrs?..
. ¢
a
t . , , { �I//!►�n�.:�ld �nuelrx r Pra .ram. � k ; . F �� ,:
�P.�,a
INSPECTION DAT
INSPECTION TIME
Kb
r
CERS
d
ADDRE5
-
PHONE NO.
NO OF EMPLOYEES
+mac,, <'',"rq*
P
FACILITY CONTACT
BUSINESS ID NUMBER
Consent to Inspect Name/Title
APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
3010001
.. v.
s...,, <�' ., , x:.:ui .:: a c < ti,.. . r .7'• >. ..4 .. .,.. sw., kfn «�
i.,. ,^>. <. ... 2'a„ .. 7. .f'i1' s < ...:: ,:. . , >;: >...,,x x .,... ✓.,: �".. .,, .� ,'xr a ..:<',. ': ,,. x ¢:. ,.f +>:': W n k.,. ,... ... ,n ,. ...y+,��n.. .x , :F.. <, °�.`ax
.:•3 nxt� <�". � ...t- .... ,4! ,i $, �. o..< k. £. , .o.,:. .. .Y .. r, ¢Y. x, .. ,.> , S rs �, +4... ,.. i�
�
<.< .a. , x { :. x.., E f , ..,,.. xv .. ,. ,.. '':a,....,Wfisx Y '.i.. r C. .. :+ .: , >,1f ,.. � ,•.m'> xrs?..
. ¢
a
t . , , { �I//!►�n�.:�ld �nuelrx r Pra .ram. � k ; . F �� ,:
�P.�,a
.
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V = ompiance OPERATION
CERS
V =Violation; 1,11 Minor
Violation
COMMENT
#
H4 2
APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
3010001
.. v.
re
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
1010008
{
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
CORRECT OCCUPANCY (CBC: 401)
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
1010004
VERIFICATION OF QUANTITIES (CCR: 2729.4)
1010006
VERIFICATION OF LOCATION (CCR: 2729.2)
PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b))
VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
1020002
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
1010010
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5)
3030007
HOUSEKEEPING (CFC: 304.1)
FIRE PROTECTION (CFC: 903 & 906)
3030032
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
1010005
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO
8ienature ofRecei t
Explain:
Inspector: t
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 Copy Yellow — Station Copy Pink — Prevention Services
Signature (that all violations have been corrected as noted)
Date
FD2155 (Rev 8H14)