HomeMy WebLinkAboutHAZMAT 2017FACILITY NAME
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INSPECTION DATE
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EleROUTINE ❑ COMBINED ❑ JOINTAGENCY El
MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
ADDRESS
PHONE NO.
NO OF EMPLOYEES
APPROPRIATE PERMIT ON HAND (BM
:15.65.080)
FACILITY CONTACT
USINESS ID NUMBER
onsent to Inspect Name/Title
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EleROUTINE ❑ COMBINED ❑ JOINTAGENCY El
MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V C=qornpliance OPERATION
CERS
V= Violation; 1,11 Minor
Violation
COMMENT,
APPROPRIATE PERMIT ON HAND (BM
:15.65.080)
3010001
e
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR:
2729.1)
1010008
VISIBLE ADDRESS (CFC: 505.1, BM
:15.52.020)
CORRECT OCCUPANCY
(CBC: 401)
VERIFICATION OF INVENTORY MATERIALS (CCR:
2729.3)
1010004
VERIFICATION OF QUANTITIES (CCR:
2729.4)
1010006
VERIFICATION OF LOCATION (CCR:
2729.2)
PROPER SEGREGATION OF MATERIAL (
FC: 2704.1)
VERIFICATION OF SDS AVAILABILITY . (CCR: 2
29.2(3)(b))
VERIFICATION OF HAZ MAT TRAINING I
CCR: 2732)
1020002
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (C
R: 2731(c))
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
1010010
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), C
FC: 2703.5)
3030007
HOUSEKEEPING
(CFC:304.1)
FIRE PROTECTION (CF
C: 903 & 906)
3030032
SITE DIAGRAM ADEQUATE & ON HAND (CR:
2729.2)
1010005
ANY HAZARDOUS WASTE ON SITE? ❑ YES `Zr NO
i natureofRecei t
Explain:
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)
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 9330 -
Date
White — Business Copy Yellow Station Copy Pink — Prevention Services
FD2155 (Rev 8//14)