HomeMy WebLinkAboutHAZMAT INSP 3/9/2016FACILITY NAME
INSPECT1019 DATE
INSPECTION TIME
ADDRESS r _� "-
PHONE NO.
NO OF EMPLOYEES
FACILITY CONTACT
BUSINESS ID NUMBER
Consent to Inspect Name/Title
'�> „ D Y';:.. ,.».. x,.;''>, ...:, : . v...> ...., ,Y ' ": , i 2 4 '' ) Sz, '<� w „ '$,. ,..2• ,r 3 ». >», v
.�,...
.x»
2, . .,_ ,.
,
.: '.. '�.. �... 1M�1, 11i. ,.� ]I � , 7:l. n�'ss:..Pl��r.:.;��td..:�Y,E.,, ���.. r:.. P.C�4. ' ��� x i ..J e3.. ,m` «5•. n,.:., 3w.
,.v....x..
,.�i.;.: �;,., ,..:•„ , . , ,:. � ,,.. �.e »a.R. ,s,. r,a »., .. >e r•,F a_., a...t<.�;:; .w. •:'�.... .�. �;s.�. r,3 ,'a..> ,x.=.�. 3, x:. a'.�,x,ar.,3�ea..,a..:b:»..,,�x :�a ,`a>,.a�s a:
❑ ROUTINE ❑ COMBINED ❑ JOINT AGEN CY ❑ MULTI-AGENCY El COMPLAINT RE-INSPECTION
C V C= Compliance OPERATION
CERS
V= Violation; 1,11 Minor
Violation
COMMENT
APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
3010001
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
1010008
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
CORRECT OCCUPANCY (CBC:401)
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
1010004
VERIFICATION OF QUANTITIES (CCR: 2729.4)
1010006
VERIFICATION OF LOCATION (CCR: 2729.2)
PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b))
VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
1020002
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
1010010
'�•
CONTAINERS PROPERLY LABELED (CCR: 66262.340, CFC: 2703.5)
3030007
HOUSEKEEPING (CFC: 304.1)
FIRE PROTECTION (CFC: 903 & 906)
3030032
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 27292)
1010005
ANY HAZARDOUS WASTE ON SITE? ❑ YES 0 ° NO
Signature ofRecei t
Explain:
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 page to: Signature (that all violations have been corrected as noted)
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California .93301
Date
White - Business Copy Yellow — Station Copy Pink- Prevention Services
FD2155 (Rev 8//14)
BAKERSFIELD FIRE DEPT.
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
S i
COMMENT
APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
3010001
ADDRESS _,I
PHONE NO.
NO OF EMPLOYEES
yy....� }'-.
n.N°" a� '�' mu�un/.. `im,.n:• j � ,+ '} •.• ^SFx' a .� 4
1
1010008
FACILITY CONTACT
BUSINESS ID NUMBER
r
i
Consent to Inspect Name /Title
.. , J. 'r, :u �:a, .._.... •.<�,� �,.. s. ,x. 5 ice..
.,. . a $ ..::..� ?�.,.. • . _ �.., _. „w.r,, v..........� .� u , ., ✓r.... T v..... R n .*,... +...Y z.,s.. �� - ,.s:.. .�' ,+, x.. ri..r",t ,... .?•.,<
r . , ,, ,b��,.♦ _� � „ E _ , .,G;: 9 _. ,... ...... ,. _ . „ , ... ::. , e ,., ,> ... � ,... , .: r ♦,,... ' yr ,.: a r Wiz-- . ^�, � . ,. a 3 Ta ,.
❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COO MPLAINT ❑ RE- INSPECTION
C V= omp lance OPERATION
V =Violation; 1,11 Minor
C E R S
Violation
COMMENT
APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
3010001
-
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
1010008
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
CORRECT OCCUPANCY (CBC: 401)
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
. 1010004
VERIFICATION OF QUANTITIES (CCR: 2729.4)
1010006
VERIFICATION OF LOCATION (CCR: 2729.2)
PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b))
VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
1020002
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
w
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
"
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
1010005
ANY HAZARDOUS WASTE ON SITE? ❑ YES D- NO
Sign atureofRecei t
Explain:
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 page to: Signature (that all violations have been corrected as noted)
Bakersfield Fire Dept., Prevention Services, 2101.11 Street, California .93301
Date
White Business Copy Yellow — Station Copy Pink — Prevention Services FD2155 (Rev 8U14)