HomeMy WebLinkAboutHazmat 2017 (2)u n�
UNIFIED PROGRAM INSPECTION CHECK I;
SECTION 1: Hazardous Materials Business Plall
Ins ion
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
14PR—a012
Violation
COMMENT
ADDRESS
PHONE NO.
NO OF EMPLOYEES
0S,5-49/<7- c
APPROPRIATE PERMIT ON HAND (B
C: 15.65.080)
FACILITY CONTACT
USINESS ID NUMBER
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR:
2729.1)
onsent to inspect Name/Title
P it
. Ld -'
�-
.a
3..: �. � & ^�a '�, :...z k 5 � ,.?�, w�- �. s , »tea. .r � � ��.. x�x,• �' �.... Ep. < � ..x
:.,s fix,. +# i' � .:S.,.L .*,. .., v. .....yam' u >' '^ • > •': .�.. }} � t�r,J`.,,:' }} '°�,:. „'"��,';
3 �,.w � ction�� ,.Business P� Pt n�
fA %..Y'i�'a in:i�l�;:Y�. ".'hav�,�; 5..'•.` �' naS�k' K' �. ��, Ct >:'�,�?.�ti'.,:,.,�''�'ea.._�:t �.xa .zl�'4.'+.Y }SI. �F.'2r; .�s£FR:S�S,n�2'.�M'I.'w.; •:' �, 3vc% �» v#.. L:°. �k4., R` 5�2, h3U�S .:H6:Sa�iT.'G..H:5z.1`s`,'�„an. 'is?'�2i5':w.4Y ^`s..a,.s.4�M�,u4Z'M ...' w' °�....n�..�,c.....��J,�YvR ^u,A, <m4:s£3.3 tku^�snXVe.na .aar�i�x
ROUTINE ✓ COMBINED ❑ JOINTAGENCY MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C y = ompiance OPERATION
CERS
=Violation; 1,11 Minor
Violation
COMMENT
APPROPRIATE PERMIT ON HAND (B
C: 15.65.080)
3010001
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR:
2729.1)
101000$
-
VISIBLE A. DDRESS (CFC: 505.1, B
C: 15.52.020)
CORRECT OCCUPANCY
(CBC: 401 )
X
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:
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 (CFC:
903 & 906)
3030032
SITE DIAGRAM ADEQUATE & ON HAND
CCR: 2729.2)
1010005
ANY HAZARDOUS WASTE ,O N. SITE ?FES ❑ NO
Sianature of Receipt
Explain:
Inspector: S11 f,4.:
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 thr S page to Signature (that all violations have been corrected as noted)
Bakersfield Fire Dept., Prevention Services, 2101 HStreet, California 933)11:
Date
White — Business Copy Yellow — Station Copy Pink I Prevention Services FD2155 (Rev 8//14)