HomeMy WebLinkAboutHAZMAT INSP 2/2015FACILITY NAME '
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ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑. MULTI= AGENCY ❑ 'COMPLAINT `� ❑ RE- INSPECTION
INSPECTION DATE
INSPECTION TIME
ADDRESS _
PHONE NO. t.
NO OF EMPLOYEES'
COMMENTS-
APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
ID NUMBER
El Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1).
FACILITY CONTACT
❑— ° ❑ VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
Consent to Inspect Name /Title
• 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:
Bakersfield Fire Dept., Prevention Services; 2101 H Street, California 93301
White —Business Copy Yellow — Business Copy to be Sent in after return to Compliance
Signature (that all violations have been corrected as noted)
Pink — Prevention Services Copy
FD2155 (Rev 6//10)
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ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑. MULTI= AGENCY ❑ 'COMPLAINT `� ❑ RE- INSPECTION
CCompance
C V = li ( ) OPERATION
V= Violation
COMMENTS-
APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
El Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1).
❑— ° ❑ VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
❑ CORRECT OCCUPANCY (CBC: 401)
,0 -r ❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
;0'' ❑ VERIFICATION OF QUANTITIES! (CCR: 2729.4)
,0 El VERIFICATION OF LOCATION (CCR: 2729.2)
®' ❑: PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
VERIFICATION OF MSDS AVAILABILITY (CCR: 2729.2(3)(b))
1] ' ❑ 'VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
-
�E]K.. ❑ VERIFICATION OF ABATEMEN f' SUPPLIES & PROCEDURES_ (CCR: 2731(c))
❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731 )
0 ❑ CONTAINERS PROPERLY LABELED ,(CCR: 66262.34(f), CFC: 2703.5)
M" ❑ HOUSEKEEPING (CFC: 304.1)
❑ ❑ FIRE PROTECTION (CFC: 903 & 906)
,El. ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
ANY HAZARDOUS. WASTE ON SITE? ❑ YES L7'NO
Signature of Receipt,
Explain.
POST INSPECTION INSTRUCTIONS: Y
• 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:
Bakersfield Fire Dept., Prevention Services; 2101 H Street, California 93301
White —Business Copy Yellow — Business Copy to be Sent in after return to Compliance
Signature (that all violations have been corrected as noted)
Pink — Prevention Services Copy
FD2155 (Rev 6//10)