HomeMy WebLinkAboutHAZMAT INSP 5/4/2017FACILITY NAME _
❑ ROUTINE ❑ COMBINED ❑ JOINTAGENCY
INSPECTION DATE
INSPECTION TIME
t
ADDRESS
ICA, 0 x}
C V =Compliance
OPERATION
PHONE NO.
NO OF EMPLOYEES
FACILITY CONTACT
BUSINESS ID NUMBER
Consent to Inspect Name/Title-
Violation
COMMENT
❑ ROUTINE ❑ COMBINED ❑ JOINTAGENCY
D MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
I
t
C V =Compliance
OPERATION
CERS
V =Violation; 1,11 Minor
Violation
COMMENT
APPROPRIATE PERMIT ON HAND (BM,.":
15.65.080)
3010001
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CR:
2729.1)
1010008
VISIBLE ADDRESS (CFC: 505.1, B
:15.52.020)
CORRECT OCCUPANCY
(CBC: 401)
VERIFICATION OF INVENTORY MATERIALS (OCR:
2729.3)
1010004
VERIFICATION OF QUANTITIES (CC
R: 2729.4)
1010006
VERIFICATION OF LOCATION (CCR:
2729.2)
f
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 (CCR:
2731(c))
u
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
1010010
CONTAINERS PROPERLY LABELED (CCR: 66262.34 ft
CFC: 2703.5)
3030007
HOUSEKEEPING
(CFC: 304.1)
FIRE PROTECTION (CFC:
903 & 906)
3030032
SITE DIAGRAM ADEQUATE & ON HAND
CCR: 2729.2 )
1010005.
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO
Nignature of Receipt
xpIain:
i
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: Signature (that all violations have been corrected as noted)
a Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
Date
White — Business Copy Yellow - Station Copy Pink
Prevention Services FD2155 (Rev 8//14)