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HAZMAT INSP 3/15/2016
UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 51 Hazardous Materials Business Plan Inninp-ctinn BAKERSFIELD FIRE DEPT. Prevention Services $...... b' ..... 2101 H Street FIRE Bakersfield, CA 93301 AR rM T Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME INSPECTION DATE INSPECTION TIME C V C=Uompliance OPERATION CERS V =Violation; 1,11 Minor Violation ADDRESS PH6NE NO: NO OF EMPLOYEES I' /�... sp. W � d . ^C FACILITY CONTACT BUSINESS ID NUMBER Consent to Inspect Name /Title mn sa u. ��.. x .�-<. ,,"✓.x 1 5.... >K. ,.. +x£d' u S:"x a. et ., ,': .. S�,£ �'^. E „. ,». a �' x,.. ;c.,.. n, �'`. .w.. .»<.l�u�. #.. a P ,r .,�..� r .5ar. w '.< � , . . 1 .a ' ... x � ,� R Y h .� ,. 'R a� „ � s'.N :i.a'! � ,W x��: �, °� e + � � . , x . '. . ^ , ? . > # '$'. ,.x. # > a s .Aaa:1'..sa . � , Y.. , „ . �j' . � .G ., o e. • .”. v, ; , w fi!�x.s ,'c. .' ',.. . . ,„ .� R, . . , '.'.!, e ., an., >. �'. ...?��r&%%., ` �. ;. ."d p S�.o . >r .T,,c,, e, � u s< .w . ' a �. ik ^ yR, . 3R .e � : . " , : � ,'e, �: - oz .z�,>ea< : " � as• 2 a ?. . Sr , b .s zS¢, 2 %.. , � ,i. „ 4' k ., . x .�� J &�. ..< 6.`w.„ , t � : . . � W . � .„. k, ,. _� x,e,'... . ^ . . ? u a x . � , ' „.�;i >.. s...�. .k '..,e >?...'. : 3<< . x . �. jj . �` ' . 'r� .vs..., :, .., .:"_ 5. . � .:' z ...? u, � '.. "1.. � «tit d. ., v .� : . F @ a. b .., �,».,. ; .. � '�,.�,. . w si r �� ..w„ .. + ...3>. . . ,. a . .t, .F. . . .a. . <, R. . >.F x , � .rs >' ' . §£ :a S +, '_.... `�1 &,' ".>.k1, < , , . 3„ ::.>` 4 �. - , . : .c. � a <,# ,.R : , ' � d u,, . , ' . , ;.''Y o :�, �a� . .? ',.. a :s La.. .�:.>�� „;. A. .' . ,s ��i. '> � '� n ar . .a. . t t. n? � >*, c' i . z � >: �: .:,,`j x,. Z . .� .",>Pa .r' '. � ' >' ,� i.:R , : � K . '� f ,.,ua;r. .' .�, . ' >z r�xte ,.S.�� ,. � aJs? a :> . . ao'A. . < a� re.0 :? Y ,u. �aa , � ' Ea yy< $ �� .� rs��. Z ^ �>' :� '. <" a � as: q<” :. � . � ,»n � ,. ,.>se. , .,.. � ,�. , .. �s .- ,.. < .,. rv..•. . :r. k. '3. ,. : �. . ': .wYs ,.. .. .�s ✓�$r. b ->, ., ✓ v` .., » ',�.. , : p. " . e ua £ ...' �� , . .' m� .. . � ., ,, , u . . .> <, . , > . .e, , , a. .c ,.0 .<. . . ,, . . .. . , :S.3. ne. s.n s , :� .$. .. : , � � 4 , a� �n ,, k F .a ,� " z� ,.. h . „ :. ., , . o xa�.,o..:. . .,�, `. �, a . ' ', � ., :t ..; . a.. . � �a ;�, i, H. b .. tei�f .h.r :, � r. �, . a �n. e;' :fir s..>. > £ � , 1 a � . ` , . . -,.. � �� ' � t ��^£ v . ' `...g. , s � . ' .�.a s ..:> . �,n �: �. .� , . ° � 9 , .: ,. ::F, wy. , w �,.u. . e Y'>>s. .i.. , ?aa, ed. '�„ >� . , . e°<,'e'. ' Y.'&. : tt..✓, '., . <.a. . ,. x.. . . .`Y,. ,k F, .. . . .- ,sf'a4 a 1 'y e ; .Z. � �,.,5 a..� . ,. '.3 ,2.. .� .3u. :N x.. A „.. . ,�..e. � .'. l S. ”, �fi R� +sw s w �. � r.k S. � ,i�;,,' a . t.. s Sf ,, . . � : m � : .,, .`', 't .Y } .. o`, .� , u . ,: . � � .' ,,'; � � . ; , '?. , z �� vMx' ry . i� .' �s,*w ,ffix�' : °a �,..m ".,:n .:a ,n� e . jj■■� ��, �... '. >;. .<,' �,: ' ..� Y-, 3> .. . : ,s., r �> ., , . �� ?L . , £ .. �' , . a , ',�. : x .. t y�► -,/ � ' a� .o > < >' ! .R? a <> ,Ko,. � „�� �. 4: �r"i` a�,£d. -a ".go: .:s' . ; "� �"r £ a :ta y s,. a.;, ', ... �, ; s xr<. .R.s ,��' R � :., 5 „: �. � r,a :,. _. � ,. :•$�.: � y � %�'sF.�� ,� '3 /: §z� p ' ax�. ,J>;z, Y.�n�.. � .e" «.,'z�:�o� ffi^ • ��� �. `a>.. ,� '.., ., .. ... �.. 4� a.Y',.. ; x., a� a .ae.. zky�.r�1. '� -3 ;,,Ja,�r .e,_ _ ��h�.x, M "" s.�'^�- +.�.ar,. :.:,.:. �'a.. ., .i. f,.,, Y <. 3.. e. ,F ,�s> .'jEl,) ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C V C=Uompliance 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) m' VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) 1010004 VERIFICATION OF QUANTITIES (CCR: 2729.4) 1010006 r 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 HOUSEKEEPING (CFC: 304.1) FIRE PROTECTION (CFC: 903 & 906) 3030032 SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) 1010005 ANY HAZARDOUS WASTE ON SITE? ❑zYES ❑ NO Signature ofRecei t Explain: 4✓, 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 93301 Date White — Business Copy Yellow - Station Copy Pink — Prevention Services FD2155 (Rev 8//14)