HomeMy WebLinkAboutHAZMAT INSP 12/9/2015FACILITY NAME
ROUTINE ❑ COMBINED ❑ JOINT AGENCY El
INSPECTION DATE
INSPECTION TIME
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ADDRESS
C V = ompiance OPERATION:,.
PHONE NO.
NO OF EMPLOYEES
V =Vioiation;l,.11 Minor
FACILITY CONTACT
Violation
BUSINESS ID.NUMBER
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Consent to Inspect Name/Title .
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ROUTINE ❑ COMBINED ❑ JOINT AGENCY El
MULTI - AGENCY ❑ COMPLAINT ❑ RE-INSPECTION,. .
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CERS:
V =Vioiation;l,.11 Minor
Violation
COMMENT,
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4APPROPRIATE
PERMIT ON HAND (BM
C: 15.65.080)
3010001
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BUSINESS PLAN CONTACT INFORMATION ACCURATE ( (.',CR:
2729.1)
1010008;.a
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VISIBLE. ADDRESS (CFC:505.1, B
C: 15.52.020)
CORRECT OCCUPANCY
(CBC: 40,1)
VERIFICATION OF INVENTORY MATERIALS
CCR: 2729.3)
1010004
<:�' AC t-.-; & 1_ i LL -
VERIFICATION OF QUANTITIES
CCR: 2729.4)
1010006
VERIFICATION OF LOCATION (CCR:
2729.2)
M1 _
PROPER SEGREGATION OF MATERIAL (CFC:
2704.1)
VERIFICATION OF SDS AVAILABILITY. (CCR:
729.2(3)(b))
-
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
1020002
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES ( (;"CR:
2731(c))
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
10,0010
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CONTAINERS PROPERLY LABELED (CCR: 66262.34(f),
CFC; 2703:5)
3030007
A
HOUSEKEEPING
(CFC:304.1)
FIRE PROTECTION (C
C: 903 & 906)
3030032
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SITE DIAGRAM,ADEQUATE & ON HAND
CCR: 2729.2)
1010005
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ANY HAZAR.DOU.S WASTE ON SITE? ❑ YES E NO
Signature ofRecei
Explain:
Inspector:
POST INSPECTION INSTRiJCTIONS:= .
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+ Correct the violation(s) noted.above by 4 ^ '
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+ Within 5 days of correcting all of the violations, sign and return a copy of thi
.page.to: Signature (that all violations have been corrected as noted)
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 933
1
Date
White —Business Copv Yellow - .:Station Copy Pink
Prevention Services ' FD2155 (Rev 8014)