HomeMy WebLinkAboutHAZMAT INSP 4/20/2017UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1 Hazardous Materials Business Plan
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FACILITY NAME
INSPECTION DATE
INSPECTION TIME
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14, Wlt4:
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ADDRESS
HONE NO.
NO OF EMPLOYEES
BUSINESS PLAN CONTACT INFORMATION ACCURATE (C
R: 2729.1)
1010008
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BUSINESS ID NUMBER
FACILITY CONTACT
"
CORRECT OCCUPANCY
consent to Inspect Ma me/Title"
VERIFICATION OF INVENTORY MATERIALS (CR:
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Y = 7 t y. c y t ■y�� � � � .a.. €'k x: 3 r �� a z r' ' r t
P" ROUTINE ❑ COMBINED ❑ JOINTAGENCY El MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V = omp lance OPERATION
V =violation; 1,11 Minor
C E R S
Violation
COMMENT
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APPROPRIATE PERMIT ON HAND (BM
:15.65.080)
3010001
ter, "
BUSINESS PLAN CONTACT INFORMATION ACCURATE (C
R: 2729.1)
1010008
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VISIBLE ADDRESS (CFC: 505.1, BM G:
15.52.020)
"
CORRECT OCCUPANCY
(CBC: 401)
VERIFICATION OF INVENTORY MATERIALS (CR:
2729.3)
1010004
VERIFICATION OF QUANTITIES (CR:
2729.4)
1010006
, R:
VERIFICATION OF LOCATION (CCR:
2729.2)
PROPER SEGREGATION OF MATERIAL (C
FC: 2704.1)
VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b))
ar
VERIFICATION OF HAZ MAT TRAINING
CCR: 2732)
1020002
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (C
R: 2731(c))
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
1010010
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f),
GFC: 2703.5)
3030007
HOUSEKEEPING
(CFC: 304.1)
FIRE PROTECTION (CF
G: 903 & 906)
3030032
SITE DIAGRAM ADEQUATE & ON HAND (CR:
2729.2)
1010005
ANY HAZARDOUS WASTE ON SITE? ROYES ❑ NO
Simatwe ofI ecei
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Inspector.
POST INSPECTION INSTRUCTIONS:
• Correct the violation(s) noted above by
0 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 9330
White — Business Copy Yellow — Station Copy Pink — Prevention Services
Signature (that all violations, have been corrected as noted)
Date
FD2155 (Rev 8//14)