HomeMy WebLinkAboutHAZMAT INSP 4/20/2017. .a aii!:�'^7nm'ti�i•.�' ""Xw"'"„, x.r :9� Wqp :��.. s. T"A * &"'�'.,: ,...
UNIFIEDAPROGRAM INSPECTION CHECK IST
SECTION 1: Hazardous Materials Business
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FACILITY NAME
INSPECTION DATE
INSPECTION TIME
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ROUTINE ❑ COMBINED
ADDRESS r
MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
PHONE NO.
NO OF EMPLOYEES
N
APPROPRIATE PERMIT ON HAND (BM(':
15.65.080)
FACILITY CONTACT
UpS'INESStID NUMBER
p
;Z 14 .0 Al j 'r,i m Y
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR:
onsent-to Inspect Name/Title'
s �,.
w °F
� °%k %'�'
'.. s�' I ••' l :;.ass � L ,1, .
:15.52.020)
C V C= Compliance OPERATION
CERS
May
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ROUTINE ❑ COMBINED
❑ JOINTAGENCY FJ
MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V C= Compliance OPERATION
CERS
V =Violation; 1,11 Minor
Violation
COMMENT
N
APPROPRIATE PERMIT ON HAND (BM(':
15.65.080)
3010001
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR:
2729.1)
1010008
Y.
VISIBLE ADDRESS (CFC:505.1, BM
:15.52.020)
CORRECTOCCUPANCY
(CBC:401)
VERIFICATION OF INVENTORY MATERIALS (CCR:
2729.3)
1010004
VERIFICATION OF QUANTITIES ' (CCR:
�,,;.
2729.4)
1010006
F ',
./ERIFICATION
OF LOCATION (CR:
2729.2)
PROPER SEGREGATION OF MATERIAL (
FC: 2704.1)
VERIFICATION OF SDS AVAILABILITY (CCR:
729.2(3)(b))
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
1020002
P
r'
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (
CR: 2731(c))
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
1010010
CONTAINERS PROPERLY LABELED (CCR: 66262.34(0,
FC: 2703.5)
3030007
HOUSEKEEPING
(CFC: 304.1)
FIRE PROTECTION (CF.":
903 & 906)
3030032
SITE DIAGRAM ADEQUATE & ON HAND (CCR:
2729.2)
1010005
ANY HAZARDOUS WASTE ON SITE? 'AYES 'NO
Oi:gmture ofRecei t
Explain:
Inspector:s,
POST INSPECTION INSTRUCI`•l[ONS:
• 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)