HomeMy WebLinkAboutHAZMAT 2017 (2)FACILITY NAME
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MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
ROUTINE ❑ COMBINED ❑ JOINTAGENCY
COMMENT
ADDRESS
PHONE NO.
NO OF EMPLOYEES
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APPROPRIATE PERMIT ON HAND (B
C: 15.65.080)
FACILITY CONTACT
BUSINESS ID NUMBER
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR:
2729.1)
Consent to Ins ect Name/Title
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MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
ROUTINE ❑ COMBINED ❑ JOINTAGENCY
= om lance
C V- p OPERATION
C E R S
V= Violation; 1,11 Minor
Violation
COMMENT
APPROPRIATE PERMIT ON HAND (B
C: 15.65.080)
3010001
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
VERIFICATION OF LOCATION
CCR: 2729.2)
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))
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
1010010
qq�� p 1
CONTAINERS PROPERLY LABELED (CCR: 66262.34(1),
CFC: 2703.5)
3030007
HOUSEKEEPING
(CFC: 304.1)
Q 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? 'AYES ❑ NO
i "natureo%Recei tom-`"` r
Explain:
Inspector: ` K -
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 th 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 8//14)
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