HomeMy WebLinkAboutHAZ WASTE 5/3/2017HAZARDOUS WASTE'
" BAKERSFIELD FIRE DEPARTMENT
Prevention Services
UNIFIED PROGRAM CONSOLIDATED FORMS B E R S F_..I
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"D 2101 H Street
SMALL QUANTITY HAZARDOUS AR M T Bakersfield, CA 93301
WASTE, GENERATOR INSPECTI ON. Phone: 661 - 326 -3979 •Fax: 661- 852 -2171
Facility Name:F ' s s Date:' `
f Site Address: Time Out:
..., Time In:
Owner /Operator: Phone: EPA ID #
Type of Inspection
4 []Routine 0 Re- inspection/Follow -up 0 Combined Routine Inspection 0 Joint Inspection � Complaint � Focused � Other
k 0 CONSENT TO INSPECT GRANTED BY (Name / Title):
Inspection may involve obtaining photographs, review and copying of records, and determination of compliance with hazardous waste handling requirements:
Al II i V' 1 t' o
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= Corn l
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4 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:
Bakersfield Fire Dept., Prevention Services; 2101 H St. Bakersfield, CA 93301
White - Business Copy Yellow— Station Copy
S
Signature (that all violations have been corrected as noted)
Date
FD2171 (Rev 9/14)
Pink- Prevention Services: Copy