HomeMy WebLinkAboutHAZMAT INS 7/25/2015UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1:. Hazardous Materials Business Plan
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FACILITY NAME
INSPECTION DATE
INSPECTION TIME
Violation
COMMENT
APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
ADDRESS
15fz�<*;D
PHONE NO.
NO OF EMPLOYEES
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
1010008
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
3
FACILITY CONTACT
BUSINESS ID NUMBER
Consent to Inspect Name/Title
A
ROUTINE ❑ COMBINED 171 JOINT AGENCY 171 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
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
1010008
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
A
CORRECT OCCUPANCY (CBC: 401)
I
A
-
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
1010004
5.
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))
EMERGENCY PROCEDURES "ADEQUATE (CCR: 2731)
1010010
A
N
A
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703-6)
3030007
HOUSEKEEPING (CFC: 304.1)
FIRE PROTECTION- (CFC: 903 & 906)
3030032�'
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SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
1010005
ANY HAZARDOUS WASTE ON SITE? ❑"YES ❑ NO
ignaturedfReceipt
Explain:
Inspector:
POST INSPECTION INSTRUCTIONS:
• Correct the violation(s) noted above by
• Within 5 days of correcting all of the violations, sip and return a copy of this page to: Signature (that all violations have been corrected as noted)
'RA-F-rffield Fire Dent Prevention Services 2101 H Street California 93301
White — Business Copy Yellow — Station Copy Pink — Prevention Services
Date
FD2155 (Rev 8H,14)