HomeMy WebLinkAboutHAZMAT INSP 5/1/2017FACILITY NAME ,.t
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INSPECTION DATE
INSPECTION TIME
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❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY
MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
ADDRESS .I
PHONE NO.
NO OF EMPLOYEES
APPROPRIATE PERMIT ON HAND (B
C: 15.65.080)
FACILITY CONTACT
BUSINESS ID NUMBER
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR:
2729.1)
Consent to Inspect Name/Title
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C V= omp lance OPERATION
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V= Violation; 1,11 Minor
❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY
MULTI- AGENCY ❑ COMPLAINT ❑ 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
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BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR:
2729.1)
1010008
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VISIBLE ADDRESS (CFC: 505.1, B
C: 15.52.020)
CORRECT OCCUPANCY
(CBC: 401)
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
1010004
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VERIFICATION OF QUANTITIES
(CCR: 2729.4)
1010006
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VERIFICATION OF LOCATION
CCR: 2729.2)
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PROPER SEGREGATION OF MATERIAL
CFC: 2704.1)
VERIFICATION OF SDS AVAILABILITY (CCR:
2729.2(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
HOUSEKEEPING
(CFC: 304.1)
FIRE PROTECTION (C
C: 903 & 906)
3030032
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2)
1010005
ANY HAZARDOUS WASTE ON SITE? `Q YES ❑ NO
Signature ofRecei t
Explain:
Inspector: = 6'_
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POST INSPECTION INSTRUCTIONS: �„."`� �«., r Y
• Correct the violation(s) noted above by»
• Within 5 days of correcting all of the violations, sign and return a copy of thi 3 page to: ignature-(I;hat all violations have been corrected as noted)
Bakersfield Fire Dept., Prevention Services, 2101,H Street, California 933 1
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White — Business Copy Yellow - Station Copy Pink Prevention Services FD2155 (Rev 8//14)