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HAZ-BUSINESS PLAN 8/13/2015
FACILITY NAME INSPECTIONS DATE INSPECTION TIME ! ADDRESS PHONE NO. NO OF EMPLOYEES ;�/�C•d � i .t•i r. r {" r J,".:!`•• >�% � .�'�) �, � i y � `�� i � y� „� � �� FACILITY CO1jNTACT BUSINESS ID NUMBER Consent to Inspect Naine/Titld an- ... 'ro °.. • ,.. .: � aa3..'.•ra . .. �e -a=: r, '(:: >r ; ,' _. xr:J -: .:s .e,;�- r�A'. x, .r .<.: m :: J J ;,': 3 '. .';.- :� ✓ ::... x ...,.: e = s ,. .. .. ✓, x. ..r ,. ... .... , .. ., . <, . , r ,. ,.: ., < w ,, � ^ , � a. a �`?' �. � $, ,, , •r. x .aa..e a.�s ..., .. � a , d ,. e :3'•r- �. k �, � K.. s. "2 , � �i ,.r•, : �.. �£�.. ., 0�x r y: '�..> 4. ...aua. .,. � <...� ,. ., .'v unx fi� x . x:.. s ' y .:: .,.. ,'.. '� . , a x;•o u" �' Y .� ^+.i ..,, e, .u5�.: .v� �.. ;._. .r 7 s. .: ;,'.,a• � y. .,wr,. w. ^w x�� ». �.. ...... � .,. `�.., .. '� ... :r w.. �?�x .S ?r. �� .tiz i. a �. '� �": ., r, �. #' i � � �' �. '3£ � �' x`,1 ,'` � �.., y. .�,_ 'x4, ,:i'..�.: >�: C,Cx,'.d� cr' ... r�J1�"s � a ✓me .4'" snmG 't3'. . x. ,< �' t , .. ... f X .. !<^x. &,. .e: .� i"'# .:. a•..s�. "'�s. a' � M,� ..?. .' £ ksrx , £�m"'... 5 a4 .., t^a,?",N'k a Si�'Si � .J3.. %. , i � ^.. uXb�s . � . 9^`.: � a'.�.'�kf' .. . � �r: � ...� ,�' �,,.. �. y. �. T ' S.. . 5 : :. S i k .. .' m .. ; ^ � �........ ,✓ x .,y.M"C .. .D x3�>•< � h.': _. vs si 'a.Y��' � � ' 3ased �. "��'F .. ...'� e Y.. 4 � ,, w. xiR t :c. a.. �"�:�`. ., f °u, i�a.. `:S.ra y-: , ..d f.. �.'£'. ✓.7'` � ,A �R ES��..n'�a.N.aa��Y<w�.x��:.v.,k �Ti....,... �,,. .. . .. ,. .. ., :...0 w .. . i. ���� .H,`n�...����.gw,Fx'h�F,,,�„��. � >: ,'.: eAo3�. ,.a�"pY..4(NR. a," w, �, aSY:„. a'u6,4 „Wh..x:�K.��sw§e,.k✓�£si . uc ?sY'h�ek�iM1:rsi.+'J':,aom:,4�*$. e. t`2'Yr>.L�x. K`�e�aa .sf r� ?�...i' }�.a. 3`a'L:.a°, n,.Y:.L,d,..,n.�.FU'2...es.X ... FY.:'�.i' „�T�i%xu.i .,,C�.?i+';�na��x+`Nc ROUTINE E. COMBINED JOINT AGENCY ❑ MULTI- AGENCY 171 COMPLAINT El RE- INSPECTION C V C=Compfiance OPERATION CERS V= Violation; 1,11 Minor 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) ff VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) . 1010004 VERIFICATION OF QUANTITIES (CCR: 2729.4) 1010006 VERIFICATION OF LOCATION (CCR: 2729.2) r PROPER SEGREGATION OF MATERIAL (CFC: 2704.1) VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b)) r 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 HOUSEKEEPING (CFC:304.1). FIRE PROTECTION (CFC: 903 & 906) 3030032 SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) 1010005 ANY HAZARDOUS WASTE ON SITE? P'YES ❑ NO � r Signature of Recei �'t'`' { '� �,^� t..9 �_r�:.,1„+, •-"tom Ei �"�� � ;"..L_L.. �b �' r� � .�~3 t t-�r{` �. L-'? !� 'wr' fr�� '„�. p°.�. �'� t: , l J,rr -,c :;:�y, f �' •�' ` Inspector: 'l < f a POST INSPECTION INSTRUCTIONS: Correct the violation(s) noted above by t-1, . • 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 White - Business Copy Yellow — Station Copy Pink — Prevention Services FD2155 (Rev 8//14)