HomeMy WebLinkAboutHAZMAT INSP 4/20/2017FACILITY NAME
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ROUTINE ❑ COMBINED ❑ JOINT AGENCY 171
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MULTI- AGENCY ❑ COMPLAINT - N ❑ RE-INSPECTION
INSPECTION. DATE
INSPECTION TIME
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ADDRESS
Violation
COMMENT
PHONE NO.
NO OF EMPLOYEES
FACILITY CONTACT
BUSINESS ID NUMBER
A
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C: 15.65.080)
3010001
;A
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BUSINESS PLAN CONTACT INFORMATION ACCURATE (
CR: 2729.1)
1010008
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Consent to Inspect Name /Title
VISIBLE ADDRESS (CFC: 505.1, B
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ROUTINE ❑ COMBINED ❑ JOINT AGENCY 171
i•f: 1 -r T.. i,e ,ZS !a <v ...gXS:/.a 'R?s,.,6�xdu. V9
MULTI- AGENCY ❑ COMPLAINT - N ❑ RE-INSPECTION
C V= omp lance OPERATION
C E R S
V= Violation; 1,11 Minor
Violation
COMMENT
APPROPRIATE PERMIT ON HAND (B
C: 15.65.080)
3010001
;A
BUSINESS PLAN CONTACT INFORMATION ACCURATE (
CR: 2729.1)
1010008
VISIBLE ADDRESS (CFC: 505.1, B
C: 15.52.020)
CORRECT OCCUPANCY
(CBC: 401)
VERIFICATION OF INVENTORY MATERIALS
CCR: 2729.3)
1010004
F
VERIFICATION OF QUANTITIES
CCR: 2729:4)
1010006
!
VERIFICATION OF LOCATION
CCR: 2729.2)
w
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)
1010010
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f),
CFC: 2703.5)
3030007
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HOUSEKEEPING
(CFC:304.1)
FIRE PROTECTION (CFC:
903 & 906)
3030032
SITE DIAGRAM ADEQUATE & ON HAND
CCR: 2729.2)
1010005
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ANY HAZARDOUS WASTE ON SITE? ❑ YES 0 NO
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Explain:
Inspector: P3
POST INSPECTION INSTRUCTIONS:
Correct the violation(s) noted above by "' e a
+ 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 933 1:
Date
White — Business Copy Yellow — Station Copy Pink Prevention Services FD2155 (Rev 8H14)