HomeMy WebLinkAboutHAZMAT INSP 5/4/2016S E CT 10 N 1: Hazardous Materials Business Plan
Inspection
FACILITY NAME°
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V ifi,� �': it t b'
ADDRESS :
Z
FACILITY CONTACT. A
onsent to Inspect Name /Title
Fax: (661) 852 -2171
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INSPECTION DATE ]INSPECTION TIME
PHONE NO. NO OF EMPLOYEES
BUSINESS ID NUMBER
��ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT RE-INSPECTION
C V omp lance OPERATION
V= Violation; 1,11 Minor
'`.. APPROPRIATE PERMIT ON HAND (BMC: 15.6
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2'
VISIBLE ADDRESS
(CFC: 505.1, BMC: 15.E
CORRECT OCCUPANCY
(CB
VERIFICATION OF INVENTORY MATERIALS
(CCR::
VERIFICATION OF QUANTITIES
(CCR:
VERIFICATION OF LOCATION
(CCR:
PROPER SEGREGATION OF MATERIAL
(CFC:
VERIFICATION OF S'DS AVAILABILITY
(CCR: 2729.,
VERIFICATION OF HAZ MAT TRAINING
(CCF
VERIFICATION OF ABATEMENT SUPPLIES &
PROCEDURES (CCR:
EMERGENCY PROCEDURES ADEQUATE
(CC
CONTAINERS PROPERLY LABELED
(CCR: 66262.34(f), CFC
HOUSEKEEPING
(CF
FIRE PROTECTION
(CFC' 9
SITE DIAGRAM ADEQUATE & ON HAND (CCR
ANY HAZARDOUS WASTE ON SITE? ❑YES I�IQ
Explain:
5.080). 3010001
'29.1) 1010008
2.020)
'.: 401)
;729.3) 1010004
!729.4) 1010006
!729.2)
!704.1)
(3)(0))
2732) 1020002
!731(c))
x:2731) 1010010
2703.5) 3030007
,:304.1
3 & 906) 3030032
2729.2) 1010005
i nature of Receipt i
Inspector:
POST INSPECTIO 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:
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
Signature (that all violations have been corrected as noted)
Date
CE RS
Violation C
COMMENT
Inspector:
POST INSPECTIO 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:
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
Signature (that all violations have been corrected as noted)
Date