HomeMy WebLinkAboutHAZMAT INSP 5/19/2017UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1:, Hazardous Materials Business Plan
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FACILITY NAME
INSPECTION DATE
INSPECTION TIME
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ADDRESS
PHONE NO
x
O OF EMPLOYEES
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£ #
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FACILITY CONTACT
BUSINESS ID NUMBER
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BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR:
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Consent to Inspect Name/Title
i,
CERS
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❑` ROUTINE ❑ COMBINED ❑ JOINTAGENCY Q
MULTI-AGENCY ❑ C OMPLAINT ❑ RE- INSPECTION
C V = ompuance OPERATION
CERS
V =Violation; 11,11 Minor
Violation
COMMENT
APPROPRIATE PERMIT ON HAND (BM
:15.65.080)
3010001 .
+
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR:
2729.1)
1010008
VISIBLE ADDRESS (CFC: 505.1, BM
:15.52.020)
r ,
CORRECT OCCUPANCY
(CBC: 401)
fir
VERIFICATION OF INVENTORY MATERIALS ., (CCR:
2729.3)
1010004
P"
VERIFICATION OF QUANTITIES (CR:
2729.4)
1010006
`
s
VERIFICATION OF LOCATION (C
CR: 2729.2)
PROPER SEGREGATION OF MATERIAL (C
IFC: 2704.1)
VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b))
VERIFICATION OF HAZ MAT TRAINING
CCR: 2732)
1020002
°
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (C
R: 2731(c))
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
1010010
py
CONTAINERS PROPERLY LABELED (CCR: 66262.34(0, GFC:
2703.5)
3030007
HOUSEKEEPING
CFC: 304.1)
8
FIRE PROTECTION (CF G:
903 & 906)
3030032
SITE DIAGRAM ADEQUATE & ON HAND (CCR:
2
2729.)
1010005
,
ANY HAZARDOUS WASTE ON SITE? ra, YES ❑ NO
SiMture OfRecei t ,
xplai'n:,
Inspector:
POST INSPECTION INSTRUCTIONS:
• Correct the violation(s) noted above by
• Within 5 days of correcting all of the violations, sign and return a copy of this age to:
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 9330
White — Business Copy Yellow — Station Copy Pink - evention Services
signature tmat au violanons nave oeen correciea as noteu)
Date
FD2155 (Rev 8//14)