HomeMy WebLinkAboutHazmat 2017FACILITY NAME
INSPECTION DATE
INSPECTION TIME
APPROPRIATE PERMIT ON HAND (BMC:15.65.080)
ADDRESS
PHONE NO.
NO OF. EMPLOYEES
.. s,C i-
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
1010008
FACILITY CONTACT
BUSINESS ID NUMBER
�. f-01 -7 :72 67P
Consent to. Inspect Name/Title
x� x
.: 1. a. x. t. ..,Z yx`., < x 2 �z. dam.. 1.::ni ,y..,. �< c c,e. . ✓.. s„
x ... f u :. l .. I. yT... .�4?„ 'ti:, S`•3 :^^.?.w .4.. S. ,,�µ -Y` .%?? o
�A 5 F../ 4 .. Y.... .. Yx � R....
...e:3e�a. t:. :.c ,',: S' _, .
.,,c... ,. .x,. .,,. c,>. .., �.... r.... ., .a. c. ,.. tl r �.. . .. ... ,x a�"..
.. , ,.+A,. � ^\�,rm
< Yk ._ .K .r .. . .. 101-4
y.
�i ... , .� :.,Kk...
�... 5. x: �> a- . ..
,, x< � ..:. 'r4 ,y.. .. <, �^ti. ,� .x ...�_ ..r'M .. .>;: ds"✓.r�': . �;r I � .. . t. .4
xk �tx a.
.'F�.. Y, ka' , . z
r. s:d r, > . .w a..ti Y >. .�"Ye ✓ <,,.. .a N
,lm., Xdx s. ..
.c... , ,:
...s. ix
.. ... :<. ,,. #.e �•�;4%2'.'.'y5 S H' vY. v,� fre
` �. .. a
o Pro
� w
f
1' 3;.„ a�. 5 '�.�.cx'M�.a�,_*xi>:�x.,,..�., �. �..�i.,..r ..:�.. '^s� ..- i... s.. ax. 4s:,.' u:;,. �C<� #(:<„�,.�>:�.r.i.T..x�.1l�L r�.: �:. r. �'. �u+ ti: i,^, 3✓„... u?,`; zms„ �:< roz. s. t< ��6ti�.,. a3c. .xsisw.,E- ,z3kl,,,,er.a5x.,.. EIS,.,.,,, fzr, �<,. �, i,.:,.< LSz.. tia..# k. x. ys,.!*` �M<. s' fi.. Xreo-£' �. t,. k.. k.>.. ��. r...& .&'.r.#..,,a......:�.'1..,.:a�s
❑ ROUTINE 4 COMBINED ❑ JOINTAGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V C=Qompflance OPERATION
V= Violation; 1,11 Minor
CERS
Violation
COMMENT
APPROPRIATE PERMIT ON HAND (BMC:15.65.080)
3010001
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
1010008
VISIBLE ADDRESS (CFC: 505.1,.BMC: 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 (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 (CCR: 2731(c))
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
1010010
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5)
3030007
;k •-
HOUSEKEEPING (CFC: 304.1)
FIRE PROTECTION (CFC: 903 & 906)
3030032
X
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
1010005
ANY HAZARDOUS WASTE ON SITE? ❑ YES /NO
Oimmture ofRecei t
Explain: .> �€�q
Inspector: - , V:� #�«
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 93301
Date
i
White - Business Coov Yellow — Station Copy Pink — Prevention Services FD2155 (Rev 8H14)