HomeMy WebLinkAboutHAZMAT INSP 4/25/2017UNIFIED PROGRAM INSPECTION CHECKLIST
S E CT 10 N 1: Hazardous Materials Business Plan
Insna0lon
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
_
Cb C, 6
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ADDRESS
PHONE NO.
NO OF EMPLOYEES
BUSINESS PLAN CONTACT INFORMATION ACCURATE (C
R: 2729.1)
1010008
FACILITY CONTACT
BUSINESS ID NUMBER
,Consent to Inspect Name/Title
C V = omp Dance OPERATION
V =Violation; 1,11 Minor
ROUTINE ❑ COMBINED ❑ JOINTAGENCY ❑
MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V = omp Dance OPERATION
V =Violation; 1,11 Minor
C E R S
Violation
COMMENT
i
APPROPRIATE PERMIT ON HAND (BMC
15.65.080)
3010001
BUSINESS PLAN CONTACT INFORMATION ACCURATE (C
R: 2729.1)
1010008
VISIBLE ADDRESS (CFC: 505.1, BM
:15.52.020)
CORRECT OCCUPANCY
(CBC: 401)
VERIFICATION OF INVENTORY MATERIALS (CCR:
2729.3)
1010004
VERIFICATION OF QUANTITIES (CCR:
2729.4)
1010006
A' -
VERIFICATION OF LOCATION (C
3 R: 2729.2)
PROPER SEGREGATION OF MATERIAL (C
C: 2704.1)
VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b))
VERIFICATION OF HAZ MAT TRAINING (
CR: 2732)
1020002
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (C (R:
2731(c))
EMERGENCY PROCEDURES ADEQUATE
CCR: 2731)
1010010
CONTAINERS PROPERLY LABELED (CCR: 66262.34 ft C
FC: 2703.5)
3030007
HOUSEKEEPING
CFC: 304.1)
FIRE PROTECTION (CF C:
903 & 906)
3034032
SITE DIAGRAM ADEQUATE & ON HAND (C
CR: 2729.2)
1010005
ANY HAZARDOUS WASTE ON SITE? ❑ YES IT NO
Signature ofRecei t,
Explain:u
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: Signanue mat an violanons nave veen cornx uGU as uv�cuy
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 9330
Date
White — Business Copy Yellow — Station Copy Pink — evention Services
FD2155 (Rev 8//14)