HomeMy WebLinkAboutHAZMAT INSP 6/19/2015FACILITY NAME _
INSPECTION DATE
INSPECTION TIME
ADDRESS
PHONE NO.
NO OF EMPLOYEES
FACILITY CONTACT W
BUSINESS ID NUMBER
Consent to Inspect Name /Title
.F :sunAr�,
a:zxi.•' .? ,. „ : �. ,L x. . a
p� .x .srl, , . S a ;
a^ a�w �n.i. ,:,•� : �. .. n4z .s,n ..< .
w>,
f
g
<
T�.. .S, .
.�.
.
. . ,. . i»._? „.:. ...g:
3 t.e , , `, 3 „ 4 fi
a� . ..
Y_. � '�. .
.; . • . � . , t3'. a.:,.: .
c . tar
.t . .
v <:4: �a.,w,✓..•a,.., .� {te.� .
. a
'•.�.a . e�:.
,'
� : Y
N .
t b< -
.w.<,..eXe,�
w,
S. .
a
a
.rc, .y.
�os 6 . C
r a ;..a
; -.
, •Ax„ `-Lw.
�'e.
. <�
e.te '
s &
.r
.
efi )
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301 Date
White — Business Copy Yellow Station Copy Pink - Prevention Services FD2155 (Rev 8114) « i m: xi
.r
ROUTINE El COMBINED JOINT AGENCY MULTI- AGENCY El COMPLAINT RE- INSPECTION
C V _ omp lance C E R S OPRATION COMMENT 1,11 Minor Violation L. r Ct u o~ 'i cr. . r,
.t # e2 +
APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) $010001
Kj
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) 1010008
VISIBLE ADDRESS (CFC: 55.1, BMC- 15.52.020)
CORRECT OCCUPANCY (CBC: 401) vD
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) 1010004
VERIFICATION OF QUANTITIES (CCR: 2729.4) 1010006
VERIFICATION OF LOCATION (CCR: 27292)
PROPER SEGREGATION OF MATERIAL (CFC; 2704.1)
VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b))
VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) 1020002 A- I
VERIFICATION OF ABATEMENT SUPPLIES &. PROCEDURES (CCR: 2731(c))
t EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) 1010010
CONTAINERS PROPERLY. LABELED (CCR: 66262.34(f), CFC: 2703.5) 3030007
HOUSEKEEPING (CFC: 304.1)
FIRE PROTECTION (CFC: 903 & 906)
3030032
hlj<0
ITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) 1010005
NY HAZARDOUS WASTE ON SITE? ❑ YES NO Signature ofRecei t : 2
,
:
na3 ,
.
.
ti
a.t „
.
l
i
F
�
.
wn
Fr.
r.
t4 x.
C:ed _
.n.. F. `:% �a ,i.. . • ":�
o)
idG..
;� ..L
_ . . .
% C � &U4>0
• • e. ,�". ,, �. � .« ; .ne
Inspector.� _. '' €? L : i
POST.INSPECTI <n . AO,, . •N i, . .". «•a.,UI«c. .;NS T-g , . i R'_r xi. .�.w., .. . L... .UCt >.. >.. a�..te.Tx ,. ,.. .k. . , . • ; ,. %'. «,, a .,.� . „a•s ,w TIa .� . . • .� .�x ,, a-� . .a ".O.. ,.ENSv«e. :
Correct the violation(s) noted above b
y
Within 5 days of correcting all of the v�' ,7 .r>i'�oz . , . ....� , ... .. . �
. lh �ar, a.a•t,, . i,.� oa n.. ...
s s , �.( s>,? s ks 7 . „ ' •: �x , i.<..x..�g . .n ..'
a n a• , Re� %,a �.xfi>r xs- , :d
r�v 5vw« .eo� .taukr, . .n a c.,
aw> .,< .o,.p, �.;- y ' o ,.. . . ..: �r .f .�. ;.t.. ,: h. ,D '�.,i .bF Ms .�..p. .,
.a',g,.e k�, G to. .
u
r.. e ( ,e 4 th
l
dsv�� . .
i o
la
o
n s h
a
v�« e
e c
�a
s
E
• • e. ,�". ,, �. � .« ; .ne
Inspector.� _. '' €? L : i
POST.INSPECTI <n . AO,, . •N i, . .". «•a.,UI«c. .;NS T-g , . i R'_r xi. .�.w., .. . L... .UCt >.. >.. a�..te.Tx ,. ,.. .k. . , . • ; ,. %'. «,, a .,.� . „a•s ,w TIa .� . . • .� .�x ,, a-� . .a ".O.. ,.ENSv«e. :
Correct the violation(s) noted above b
y
Within 5 days of correcting all of the v�' ,7 .r>i'�oz . , . ....� , ... .. . �
. lh �ar, a.a•t,, . i,.� oa n.. ...
s s , �.( s>,? s ks 7 . „ ' •: �x , i.<..x..�g . .n ..'
a n a• , Re� %,a �.xfi>r xs- , :d
r�v 5vw« .eo� .taukr, . .n a c.,
aw> .,< .o,.p, �.;- y ' o ,.. . . ..: �r .f .�. ;.t.. ,: h. ,D '�.,i .bF Ms .�..p. .,
.a',g,.e k�, G to. .
u
r.. e ( ,e 4 th
l
dsv�� . .
i o
la
o
n s h
a
v�« e
e c
�a
s