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HomeMy WebLinkAboutHAZMAT INSP 5/5/2015UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Hazardous Materials Business Plan Inanar-finn FACILITY NAME INSPECTION DATE INSPECTION TIME ADDRESS PHONE NO NO OF EMPLOYEES FACILITY CONTACT BUSINESS ID NUMBER i onsent to Inspect Name /Title .. ,_ <.: .. , -: ,.. ,„,. a , .•.: ,.,. a X - -: -: .xnr. ,. ,. . �... S ..a. ,. .. Hr k�, rw .,.., ;. .. .. .. i ,,......r £ �., ,'$z'c 'x. ., ... o•'. :,, . a . : e fin- P.0 <. '�..: a .. ,.,s.,. v«�' ,... x,... _,hf. fi' -, „ , •< s.. o..,. .. •i(:;.' .. .f.,... C <o ?, �6 .<� `,'S' w$:.. N , b z Y. '/k `>f ✓i..., �. � `£^. s^L C .Y Z �» �' « fS" .c;arw .. ^w� .. ¢.. ?o w ,. y .a.�, Y :.. L•:`2.y1 .az �T. ?. � 'd:.: � 13,. . "w ,.�. ) ',.,, s3 .< -m ...:m `3• '?'� R ., x ,.� .. ., ... ., x,... .. ^ '°'n} .. .y. n, .i >. .> � q�= � rar ,v.. �'�, •�: .fir �., >.<., r.� �..,, :f. ,� . "'� i,.. L � . s. y,.�� � :k S% . •� :, .`�i <..� , , A sF U �>r 4.. .wia., ... 5, , ,.,R �.'dh ^3 ar. ,�.n .. ,. .. :..5; : ax. '3.. :: ,.. .. as ,. ✓k., a.. ..: , X`i-. 9.. � n. . �., n.; z . n 3 n.=. or.. .., ..ex.,,r .., o< .x• ,, w,.. ,., .. .,�� „*:*:: ;z'=' 3... ..r. a,... ..� ,, efi 3 f ., 3� ? : �:. ».,,f= .< .. :x+�.a„ . ,. a,< i.. ..x Y ? _5, ti <, .. K. Ss•. a.. '.e .:....+�Z^, ...... .x .arx,. ,..r`^.e.xx '� .. -, .•, ,, ..a'.,. a..,.v.. ?>i : £a. •,33 ax ,C r.. s,. .'�e, ,. rr < �y� ..< <,. : t. ,.a:i „� ?:>; ,..,su. I , ,k.�✓ E<�u� �:.. S' .,.,., ,, o-e '�a 3.,,.s. 'a <, .. .g� ..: ?.rr.. •<. .N � T!'.k�, , ...x^5:45.. v,�'e.. e.../- ,r ., .. S?t '� s� _y� ' �: a.., .� .:x;k w x ,:. �. .,.d. a fi';i � ...,.eek, ,A.< . •e �.r. ... e �'+Y. ,. l" ,. o 4. ', � ib .�"Ka',Ff 3 ,'moo vi `i �' \. " //!��� �"n .. `.^Sx. • ,. ' ;:.: r.'.. b , 's. Yx. x `R � 3 r M'' x - �a 2o`L �, 'f ' �'��� �«.K �` ea�i •s&�o :,.c:v _. < : a'� _. a : . t ,,nx ... , : „ r n ., .' 5" 1 . F.a. e , .af ... .. ,k.<,. k . 5. u ,., .. , �a?"�i • ... . .. . .. .. .. .. ' .. • ... - -3e , . Ya, ''e .x o., .i S Kz?a a.,ry' yn, , . , a. .• s < s3>r. F •i` �� .n� . ... , H 4 :. we�'k. ,,". ! roxn( S"!fi ',.. ,if.:,3k'? t .. �• ..:< �.., ae E ,.. «•r �,, , ,rah „erg �.E:. x � sz , .,,M',k a �•r :. .., `t r XZ�vyi. ��y� �i g, �Y � �.,,�•: 5 `� �', a r � - -s” .� HEM ����<u���A �:�F_, an��Y._.�Af*$":L�y�ri �yR�,D�3e.ix<�Y,aia � �•�ryM<o'�,.a:a4:: �S,£?4 a�'.a� ri'�,::x3b sn3,7Ywi4.'- ,'a"�'' >d #�:5,<�n 'z rJ�.;?w.a`tr. :k,a .. f�'^"... n. q., s. cS: �.....< �#" i'..... �..�,es:Es <,..9.'..�., ".�'.c.,, M..bi awa m'G.o,Q:'R.3 .>9, .. e.,,Yw.,,x1a,'Y.SS:,a S� .;,.°P�:;; k,.�wz. ... a., ..... ab svn,.. u..$+.:.a. ❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT, 9_-RE-INSPECTION omp lance C V = OPERATION C E R S v= violation; 1,11 Minor Violation COMMENT APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) 3010001 BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) 1010008 .; VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) :CORRECT OCCUPANCY (CBC: 401) , V- VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) 1010004 VERIFICATION OF QUANTITIES (CCR: 2729.4) 1010006 i -` 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)) <'j EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) 1010010 t a 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 VINO sign atureofReceipt Explain: Inspector:. " POST INSPECTION INS RUCTIONS: • 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: Signature that -A violations have been corrected as noted) Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301 _ Date ' t White - Business Copy Yellow - Station Copy Pink - Prevention Services FD2155 (Rev SH14)