HomeMy WebLinkAboutHAZMAT INSP 2/24/2015UNIFIED PROGRAM INSPECTION CHECKLI51
SECTION 1: Hazardous Materials Business Plan
ARTM baKersileici, t—A Y.:).:)vjL
Tel.: (661) 326-3979
Fax: (661) 852-2171
^yM MWA W
VO N 11 N'
0-1
IN pECT*IODATE
INSPECTION TIME
FACILITY NAME
C V C=Go -ripliance OPERATION
E
A
k)'
tt
PHONE NO
NO OF EMPLOYEES
ADDRESS
APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729-1)
1010008
BUSINESS ID NUMBER
FACILITY CONTACT
47
1"'S� I kA
1010004
1010006
Consent to Inspect Name/Title
VERIFICATION OF LOCATION (CCR: 2729.2)
^yM MWA W
VO N 11 N'
0-1
El BINED ❑ JOINT AGENCY. ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
ROUTINE CO
—b —RS
C V C=Go -ripliance OPERATION
E
COMMENT
V=Violation; 1,11 Minor
Violation
3010001
APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729-1)
1010008
X, VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
CORRECT OCCUPANCY (CBC: 401)
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729-3)
1010004
1010006
VERIFICATION OF QUANTITIES (CCR: 2729-4)
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)
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
1020002
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? El YES 5 NO Signature of Receip
Explain:
Inspector:
POST INSPECTION INSTRUCTIONS:
CorreCtt�eYiolation(s ) nad bove by
I I �S � eCDI
�0
�0
� �a�l ��
�aCD 0
I �
1
Bakersfield Fire Dept., Prevenion Servi6es, 2101 H Street, California 0110t
Shure I�al aV iiol�oa hay ¢ 6�o con�t� � uot¢tlj
Date
White — Business Copy Yellow — Station Copy Pink — Prevention Services FD2155 (Rev 8//14)