Loading...
HomeMy WebLinkAboutHAZMAT INSP 5/17/2015FACILITY NAME INSPECTION DATE ��........«✓� � � INSPECTION TIME q.1 ,�� 4,.- ..."e..,...,,,_ i� f.._ -:''�. ,F 4rY'�i.� ice~ �J'�'t. ADDRESS PHONE NO. NO OF EMP,,LOYEES -J FACILITY CONTACT BUSINESS ID NUMBER Consent to Ins ect Name/Title V� Yrt'+y'.l.r T1;I''r• �iw` «+.w+ +"'"^'1 c_ �.>'. , ,,,., a: ��a :. -,x��^- �, . \. » �.�q �,t ., : � � �' �r.,��� Rk. `.';, " . 3 F M° , � � ` �x�� 5 .� �� . .2� . i.. ' �.hS , ., , � ...� . c -� �« ._� :� � B ,� , . ✓ K „. n . , �e . �. . .a�� *�� `. „ . S° k� '� . 3 . ,r�$. �� r< ' e,.» ...i :�m . ,.. . , v>� n r . .�. , ', . s:«:. _ ,f , , fi . 7 c S �ryry ,' .Z.r �..�.' � h ..°� .e o � , � � , , l. . ::r.;.� . , d .: e. ` ^ �, F . .. �q . � ,� °, . c?. .& .c .r Z ,°s � a> .: Y�:.>#+i,.. uy, � ,s ' . . q L ::, , >z: , '.. 'b � Y$a '„.., . �, � a,„�. , :.a .z .•' >:r�': ,X� a .a., Y7 .y , � _: � . .. ,ra. .. ,tee. a ta. � ur�n , a c, oY � s.ffi<�p. . , y ,•x ,.:a x :: . , : .,o.f , . , ><t� � �. ..° F -.h*iY �aR� s ;, ,.` ., . .. pw ..y " a g,w. , «.e .. ,to: � " .J . r•, "h<.v s r .a . ° F W a a��v� e r' e; . `.b e:: e�`,,aaC . : ,n � �, a n � cw o3?�t .. �, r, 9.& .r„'s . ", 4.e c�t� A. v ea . t . d ? a' - . x,. ' . . � t� � h>k �� :, l t 3 : #. 5° s u s .� . , -, J � , " . � .. w alt, rL, 6w OUTINE El COMBINED JOINT AGENCY MULTI - AGENCY COMPLAINT 171 RE- INSPECTION C V omp lance OPERATION C E R S 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: 66262.34(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. Signature of Recei e Explain: k ^v ; i 3 Inspector: POST INSPE MN INSTRUCTIONS: 0 Correct the violation(s) noted above by 0 Within 5 days of correcting all of the violations, sign and .e S.. , . § � r F� Sc .. s li ttl ' i_ gF, <& T � n . ,a..c t, ur..,... . .r, ,.'s o '� . a e ^< ,(t h, ,•.S ..;. �a t all . . .h. � . >, violations noted) Pipe n Prevention Services 2101 H StreeCalifornia 93301 Date White — Business Copy Yellow - Station Copy Pink — Prevention Services FD2155 (Rev 8H14) A li ttl ' i_ gF, <& T � n . ,a..c t, ur..,... . .r, ,.'s o '� . a e ^< ,(t h, ,•.S ..;. �a t all . . .h. � . >, violations noted) Pipe n Prevention Services 2101 H StreeCalifornia 93301 Date White — Business Copy Yellow - Station Copy Pink — Prevention Services FD2155 (Rev 8H14)