HomeMy WebLinkAboutHAZ-BUSINESS PLAN 6/2/2015UNIFIED PROGRAM INSPECTION CHECKLIST
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Haz-Mat Business Plan and Inventory Program
FACILITY NAME
INSPECTION ATE
INSPECT JO FE
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11.
COMMENTS
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ADDRESS
35 2- 0 '*1 f
PHONE NO.
NO OF EMPLOYEES
FACILITY CONTACT
Ut V1 vlv)e�
BUSINESS ID NUMBER -3
0 2 1 — L
Consent to Inspect Name/Title
... .. ...... . ...... .....
X. 11
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)
❑
'Er
CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H&S 25404(e)
❑
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
ff
171
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
❑
PROPER SEGREGATION OF MATERIAL
(CFC: 5004.1)
J9,
❑
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)
,9
❑
CONTAINERS PROPERLY LABELED
(CCR: 66262.34 (f); CFC: 5003.5)
?31
171
HOUSEKEEPING
(CFC: 304.1)
❑
FIRE PROTECTION
(CFC: 903 & 906)
21
1:1
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? ❑ YES NO
Explain:
Signature of Receipt:
FUS'I'INN.PEUTIU.N 1NN'1'KUU1'1L).NS FOK KLi "1 UK1V= 1U- l:U1V1YL1A1Vl L+
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
2,
Signature (that all >i*61ations have been corrected as noted)
6 ,1 2, , I A<
.-I
Date
White —Business Copy Yellow — Business Copy to be Sent in after return to Compliance Pink Prevention Services Copy FD2155 (Rev 1/14)