HomeMy WebLinkAboutHAZMAT INSP 3/17/2016`
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UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1 Hazardous Materials Business Plan
Inspection
FACILITY NAME a
INSP CTION DATE
INSPECTION TIME
y
°`
C V C=Gompliance OPERATION
ADDRESS � .,
PHONE NO.
NO OF EMPLOYEES
Violation
COMMENT
FACILITY CONTACT
BUSINESS ID NUMBER
Consent to Inspect Name /Title .
u^$ > 3
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Q ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V C=Gompliance OPERATION
CERS
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)
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
A
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
j
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
10100.10
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5)
3030007
.z
HOUSEKEEPING (CFC: 304,1)
y�
FIRE PROTECTION (CFC: 903 & 906)
3030032
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
1010005
ANY HAZARDOUS WASTE ON SITE? ❑ YES ED NO
i natureofReceipt
Explain:
Inspector: _r- . �_ \117-1 1 "*,
POST INSPECTION INSTRUCTIONSs
• Correct the violations) 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
Signature (that all violations have been corrected as noted)
Date
White — Business Copy Yellow - Station Copy Pink - Prevention Services FT)2155 (Rev RM dl