HomeMy WebLinkAboutHAZMAT INSP 4/9/2015UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Hazardous Materials Business Plan
IMIdNAA'�'�AM
FACILITY NAME E rt ;.
C E R S
INSPECTION DATE
INSPECTION TIME
Violation
COMMENT
ADDRESS I
X
PHONE NO.
OF EMPLOYEES
7 <
APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
3010001
BUSINESS ID NUMBER
f
FACILITY CONTACT
t
�'
1010008
Consent to Inspect Name/Title
`
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
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❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT RE-INSPECTION
C V = omp lance OPERATION
C E R S
V =Violation; 1,11 Minor
Violation
COMMENT
X
7 <
APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
3010001
f
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
1010008
`
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
CORRECT OCCUPANCY (CBC: 401)
N.
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
1010004
"t
VERIFICATION OF QUANTITIES (CCR: 2729.4)
1010006
VERIFICATION OF LOCATION (CCR: 2729.2)
TMa
PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
:w
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
J..
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5)
3030007
HOUSEKEEPING (CFC: 304.1)
r�•.-
FIRE PROTECTION (CFC: 903 & 906)
3030032
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
1010005
ANY HAZARDOUS WASTE ON SITE? ❑ YES P.,NO
ignature of Receipt
Explain:
Inspector: w4
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 corrected as noted)
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301 a d x
Date
White — Business Copy Yellow - Station Copy Pink — Prevention Services FD2155 (Rev 8H14)
rLAA BAKERSFIELD FIRE DEPT.
Prevention Services
.t.. �.....P 2101 H Street
Bakersfield, CA 93301
T Tot l�ti1l 27ti_'2Q'7U
SECTION 1 Hazardous Materials Business Plan
Incnar±tinn
FACILITY NAME '
INSPECTION DATE
INSPECTION TIME
-r
"Y,
M ,
APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
i
�
w
ADDRESS r
PHONE NO '
NO OFEfMPL,OYEES
.n
+
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
J
t'
BUSINESS ID NUMBER
FACILITY CONTACT 1
,
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
Consent to Inspect Name /Title r
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ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V C=Compliance OPERATION
V =Violation; 1,11 Minor
CERS
Violation
COMMENT
"Y,
APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
3010001
I'
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
1010008
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
ry
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)
9
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))
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
1010010
°
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5)
3030007
w
HOUSEKEEPING (CFC: 304.1)
ter'
�F
FIRE PROTECTION (CFC: 903 & 906)
3030032
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
1010005
ANY HAZARDOUS WASTE ON SITE? t❑'YES ❑ NO
}
Signature ofRecei t
Explain:
Inspector: , " Yet f 8.._4 -
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 8//14)