HomeMy WebLinkAboutHAZMAT INSP 5/31/2017FACILITY NAME
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INSPECTION DATE
I q�1tt
INSPECTION TIME
V =Violation; 1,11 Minor
Violation
COMMENT
ADDRESS
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PHONE NO. _
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NO OF EMPLOYEES
FACILITY CONTACT
BUSIIN�ESS ID NUMBER
:15.65.080)
3010001
Consent to Inspect Name/Title
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Lo" } '4' 4 -i
2729.1)
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-•"ROUTINE ❑ COMBINED r❑ JOINTAGENCY MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V = omplance OPERATION
CERS
V =Violation; 1,11 Minor
Violation
COMMENT
APPROPRIATE PERMIT ON HAND (BM
:15.65.080)
3010001
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR:
2729.1)
1010008
VISIBLE ADDRESS (CFC: 505.1, BM
C: 15.52.020)
CORRECT OCCUPANCY
(CBC: 401)
�J
VERIFICATION OF INVENTORY MATERIALS (CR:
2729.3)
1010004
VERIFICATION OF QUANTITIES (CCR:
2729.4)
1010006
*
M?<
VERIFICATION OF LOCATION (
CR: 2729.2)
PROPER SEGREGATION OF MATERIAL (
FC: 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
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? ❑ YES 5, NO
Signature of Receipt
Explain:lr
inspector:
n.9 Pte. p r *ti
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 thi page to: Signature (that all violations have been corrected as noted)
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
Date
White - Business Copy Yellow — Station Copy Pink Prevention Services
FD2155 (Rev 8H14)