HomeMy WebLinkAboutHAZMAT INSP 4/2017FACILITY NAME
INS CTI,fON DANE
INSPECTION TIME
g q
V i o l at'i o n
COMMENT
ADDRESS
PHONE NO.
NO 9.F ELOYEES
APPROPRIATE PERMIT ON HAND (BM
:15.65.080)
FACILITY CONTACT
BUSINESS ID NUMBER
Consent to Inspect Name/Title
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❑ ROUTINE ❑ COMBINED ❑ JOINTAGENCY El MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V =Compliance
OPERATION
CERS
V= Violation; 1,11 Minor
V i o l at'i o n
COMMENT
APPROPRIATE PERMIT ON HAND (BM
:15.65.080)
3010001
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR:
2729.1)
1010008
r
VISIBLE ADDRESS (CFC: 505.1, BN
C: 15.52.020)
CORRECT OCCUPANCY
(CBC: 401)
VERIFICATION OF INVENTORY MATERIALS
CCR: 2729.3)
1010004
4
VERIFICATION OF QUANTITIES
CCR: 2729.4)
1010006
y �
VERIFICATION OF LOCATION
CCR: 2729.2)
i
PROPER SEGREGATION OF MATERIAL
CFC: 2704.1)
r;.
VERIFICATION OF SDS AVAILABILITY (CCR:
729.2(3)(b))
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
1020002
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR:
2731(c))
y
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
1010010
J
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 `r
CCR: 2729.2)
1010005
ANY HAZARDOUS WASTE ON SITE? 19 YES ❑ NO
Si atureofRecei t
Explain:
,
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 tlii page to: Signature (that all violations have been corrected as noted)'
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 933D1
Date
White - Business Copy Yellow - Station Copy Pink Prevention Services FD2155 (Rev 8//14)