HomeMy WebLinkAboutHAZMAT INSP 5/26/2017SECTION 1: Hazardous Materials Business Plan ®/
FACILITY NAME
UNIFIED PROGRAM INSPECTION CHECKLI
T
SECTION 1: Hazardous Materials Business Plan ®/
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
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®ROUTINE ❑ COMBINED ❑ JOINTAGENCY ❑
MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
ADDRESS
HONE NO
O OF EMPLOYEES
j
Sel
15.65.080)
3010001
USINESS ID NUMBER
FACILITY CONTACT
X
r"
Consent to Inspect_Name/Title
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR:
2729.1)
1010008
b'
C E R S
J g tr
3
V =Violation; 1,11 Minor
®ROUTINE ❑ COMBINED ❑ JOINTAGENCY ❑
MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V C=Compliance OPERATION
C E R S
V =Violation; 1,11 Minor
Violation
COMMENT
APPROPRIATE PERMIT ON HAND (BMC
15.65.080)
3010001
X
r"
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR:
2729.1)
1010008
sue!
VISIBLE ADDRESS (CFC: 505.1, BM C:
15.52.020)
,r-
CORRECT OCCUPANCY
(CBC: 401)
"
VERIFICATION OF INVENTORY MATERIALS (C
R: 2729.3)
1010004
VERIFICATION OF QUANTITIES (CCR:
2729.4)•''
1010006
> ;.
VERIFICATION OF LOCATION (C
R: 2729.2)
PROPER SEGREGATION OF MATERIAL (C
C: 2704.1)
rg .
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
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), C
FC: 2703.5)
3030007
HOUSEKEEPING
CFC: 304.1)
"
�r
FIRE PROTECTION (CF
: 903 & 906)
3030032
SITE DIAGRAM ADEQUATE & ON HAND (CCR:
2729.2)
1010005
ANY HAZARDOUS WASTE ON SITE? - YES ❑ NO
Signature ofRecei t
xplain:
f
Inspector:
POST INSPECTION INSTRUCTINONS:
• 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: Signature (that all violations have been corrected as noted)
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 9330
Date
White — Business Copy Yellow - Station Copy Pink �revention Services FD2155 (Rev 8//14)