HomeMy WebLinkAboutHAZMAT INSP 5/5/2015UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1 Hazardous Materials Business Plan
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rA Prevention Servi ces
.r.. � -..._D 2101 H Street
Bakersfield, CA 93301
r Tot . l4ti11 214 12010
FACILITY NAME
-� f
INSPECTION DATE
INSPECTION TIME
Violation
COMMENT
ADDRESS
PHONE NO
NO OF EMPLOYEES
3010001
FACILITY CONTACT
1010008
BUSINESS ID NUMBER
I
f
Consent to Inspect Name/Title
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❑ 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)
err
CORRECT OCCUPANCY (CBC: 401)
�.
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
1010004
VERIFICATION OF QUANTITIES (CCR: 2729.4)
1010006
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VERIFICATION OF LOCATION (CCR: 2729.2)
V
PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b))
V
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
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 ❑ NO
i natureofRecei t
Explain:
Inspector: r' 2:
POST INSPECTION IM UCTIONS:
• 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: ift- ure'(tiat all violations have been corrected as noted)
Bakersfield Fire Dept., Prevention Services, 2101, H Street, California 93301
DateP �.
White - Business Copy Yellow — Station Copy Pink - Prevention Services FD2155 (Rev 8//14)