HomeMy WebLinkAboutHAZMAT INSP 5/5/2015FACILITY NAME I
INSPECTION DATE I
INSPECTION TIME
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ADDRESS
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PHONE NO,,., � ,., � N
NO OF EMPLOYEES
FACILITY CONTACT B
BUSINESS ID NUMBER
Consent to Inspect Name /Title
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❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT RE- INSPECTION
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C V G=Gomphance
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)
d , CORRECT OCCUPANCY (CBC: 401)
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) 1010004
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VERIFICATION OF QUANTITIES (CCR:, 2729.4) 1010006 /` w, ` .: u, •:p
VERIFICATION OF LOCATION (CCR: 2729.2)
,7 PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
d
f VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b))
�S,tP
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VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) 1020002
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
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( 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 ❑ NO 910 atureofRecei t
Explain:
Inspectors:.". �'r " xr sP
y
POST INSPECTION I1XST'k1)CTIONS:
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..(aIl aiolations,Have beenwcorrected as ,noted)
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301 -
Date ., .
White— Business Copy Yellow = Station Copy Pink — Prevention, Services FD2155 (Rev 8H14)
Inspectors:.". �'r " xr sP
y
POST INSPECTION I1XST'k1)CTIONS:
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..(aIl aiolations,Have beenwcorrected as ,noted)
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301 -
Date ., .
White— Business Copy Yellow = Station Copy Pink — Prevention, Services FD2155 (Rev 8H14)