HomeMy WebLinkAboutHAZMAT INSP 4/3/2015SECTION 1: Hazardous Materials Business Plan
Inspection
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
'ADDRESS
PHONE NO.
NO OF EMPLOYEES
FACILITY. COOACT
BUSINESS ID NUMBER
onsent to Inspect Name /Title
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CTION
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ 'COMPLAINT ❑ RE-INSPECTION
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C V P=Compliance : OPERATION
CERS
V =violation; I;II Minor
Violation
COMMENT
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APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
3010001
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
101000$
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52:020)
CORRECT OCCUPANCY (CBC: 401)
- >c:a✓ ue -5A
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))
N0 ,5 >5 Cf \jSi i
V
.
VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
1020002
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tt
ITV
.
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
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1010010
1/Ue,
ll .1(_
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5)
3030007
C
HOUSEKEEPING (CFC: 304.1)
FIRE PROTECTION (CFC: 903 & 906)
3030032
r/
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
1010005
ANY H A Z A R D O US WASTE O N 'S I T E? ❑YES 1� NO
Signature of Receipt
Explain: -'
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Inspector:-- .1�'`.,~
POST INSPECTION INSTRUCTIONS: I
• 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 8/114)
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