HomeMy WebLinkAboutHAZMAT INSP 6/1/2017UNIFIED PROGRAM INSPECTION CHECK
SECTION 1: Hazardous Materials Business Pla
Inermar+tinn
FACILITY NAME ,,
,,.
INSPECTION DATE
INSPECTION TIME
j�
rY f
Violation
COMMENT j
ADDRESS s �° f p
P�HONE NO
NO OF EMPLOYEES
FACILITY CONTACT
'N
BUSINESS ID NUMBER
°Are',. Hir.u:.
st..
r f iM,w,A°Yr K
Consent to Inspect Name/Title
APPROPRIATE PERMIT ON HAND
(B
C: 15.65.080)
3010001
st.+ivsm.n«e+op..<cx� -z ,:.�'.3�3 -. fzch. .. .ate:$: "z .qe .,..� �,t
r >,a... n..a. . -: .. n :'5,..< MINI
. >..3 ` a'� . ,.: � M ; <i, ' �, � "�"... 7� ... , rex+i� .: . R
.a ..... e Rn ..�.a ay. s >. .y,•S. x �. .� �• ,s
,°��..: , *! v.`x#'«" a,.. r"1.r.•s �x <.`„ �l>:.,
.Y w �un..,..lF::d#• &,�': fs;f: �W. .<2. ,.." ;M�'•" a•�r3, hY,r`1k_'3 ,•4:.
Y'� x..a.,$�. . >.£,.�. ...s r�,�;..#zs„h��- rc ,.. r s{ .a..,: ��':. d. `��'*h s 1
.... :1. ��. w^.:'�::.. ��� ✓..:, r v x... fraf ..3 � ....'� .~�'�. :. ^ �.t sff' °s'��1,. 3 xs,`.:i. F
- . � 3
rF.. ;�.. �y`.. , -.. a >r�. .b
t t "r�,<h - -
��5. ,a � .,.5
.� ,� Sec �o,n.:
o,.. <. *e4},. .. 3"x�
��;Y .,?."iCW.w , sms�i "!s�?���^`���'9e , s, �•k3;,�q't�.�"`� ea�����`rr,�•''x;�a� * st ,*r��';,�.�'�ir.33- "<'e,.?�<Yn ��t. k #
0, ROUTINE ❑ COMBINED ❑ JOINTAGENCY MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V C=Compliance OPERATION
CERS
V =violation; I,II Minor
Violation
COMMENT j
'N
a
APPROPRIATE PERMIT ON HAND
(B
C: 15.65.080)
3010001
BUSINESS PLAN CONTACT INFORMATION
ACCURATE (
CR: 2729.1)
1010008
VISIBLE ADDRESS
(CFC: 505.1, B
C: 15.52.020)
CORRECT OCCUPANCY
(CBC:401)
CCR: 2729.3)
VERIFICATION OF INVENTORY MATERIALS
-
I
1010004
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
1010006
r'
:,VERIFICATION OF LOCATION
CCR: 2729.2)
°
r.
PROPER SEGREGATION OF MATERIAL
CFC: 2704.1)
s
VERIFICATION OF, SDS AVAILABILITY
(CCR:
2729.2(3)(b))
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
1020002
yVERIFICATION
OF ABATEMENT SUPPLIES
& PROCEDURES
CCR: 2731(c))
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
1010010
a�
CONTAINERS PROPERLY LABELED
(CCR: 66262.34(f)
CFC: 2703.5)
3030007
�r
HOUSEKEEPING
(CFC: 304.1)
r
FIRE PROTECTION
(C
C: 903 & 906)
3030032
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2)
1010005
ANY HAZARDOUS WASTE ON SITE? ❑
YES Uf NO
�,
i natureofRecei't
ate• �, � •,"��" ,P ,.,,, ,
Explain:
Iler
Li
r
Inspector:
fx..•
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 page to: Signature (that all violations have been corrected as noted)
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 933 01
Date
White — Business Copy Yellow - Station Copy Pink Prevention Services FD2155 (Rev 8//14)