HomeMy WebLinkAboutHAZ-WASTE INSP 6/8/2016.". y ."._ i .i'..W'.♦t u. '� ro'i�; 'fit�.�'r9-1 ' _.tYj t J
BAKERSFIELD FIRE DEPARTMENT
HAZARDOUS WASTE Prevention Services
UNIFIED PROGRAM CONSOLIDATED FORMS E R g F I LiD 21.01 H Street
HAZARDOUS FI Bakersfield,.. CA 93301
SMALL C�UAIVTITIf HAZ A'� ART Phone: 661 -326 -3979 • Fax: 661- 852 -2171
WASTE GENERATOR INSPECTION
Facility Name:
Time In: Time Out:
Site Address:' _ µ
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Phone: PA
Owner /Operator: n
Tvne of Instect i n
w -up Combined Routine Irispe�in ' 1 Joint Inspection 0 Complaint J Focused 1 Other
Routine l Re _ spectton/F ollo
Title):
0 CONSENT TO INSPECT GRANTED BY (Name /
tion ma involve obtaining photographs, review and copying of records, and determination of compliance with hazardous waste handling requirements.
Insrec Y
C = Complaint: V = Class I, II or Minor. Violation CERS �..,. �,► nc,vTc
INSPECTOR»/
POST INSPECTION INSTRUCTIONS:
Signature (that all violations have been corrected as noted)
• 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: Date
Bakersfield Fire Dept., Prevention Services, 2101 H St. Bakersfield, CA 93301 FD2171 (Rey 9i14)
White Business Copt/ Yellow— Station COPY Pink- Prevention Services CopY