HomeMy WebLinkAboutHAZMAT INSP 6/8/2015UNIFIED PROGRAM INSPECTION, CHECKLIST
SECTION 1 w Hazardous- Materials Business Plan
In�nor+Finn
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
,.i
Violation
COMMENT
ADDRESS s� `
PHONE NO.
NO OF EMPLOYEES .
t k
APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
3010001
BUSINESS ID NUMBER
FACILITY CONTACT
Consent to Inspect Name /Title
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ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V C=Compliance OPERATION
CERS
V= Violation; 1,11 Minor
Violation
COMMENT
APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
3010001
01
BUSINESS PLAN CONTACT INFORMATION ACCURATE._ ` (CCR: 2729.1)
1010008
W
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
CORRECT OCCUPANCY (CBC: 401)
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
1010004
J�
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
t ..
HOUSFKEEP,ING';= (CFC: 304.1)
FIRE PROTECTION (CFC: 903 & 906)
3030032
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
1010005
ANY HAZARDOUS WASTE ON SITE? -17- YES P. NO
8ienature ofRecei t
Explain: -
W=
Inspector
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: Signature (that all violations have been.,corr(;cted as noted)
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
Date
White - Business Copy Yellow — Station Copy Pink — Prevention Services
FD2155 (Rev 8014)