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HAZMAT INSP 6/17/2016
■� wY �/r rw�w w FACILITY . AME INSPECTION DATE F INSPECTION TIME ADDRESS PHONE NO. NO OF EMPLOYEES �r FACILITY CONTACT USINESS NUMBER ID Consent to Inspect Name/Title ,., 2 . .. *S .. .r'. .. .. ,.�., i C ,. a 1,, v :;. a. ..: ,vk- f ..., K� ..v �.. v, ''.�� '9z � a..Y... , �. , t , �;.' ,TX.. < .4 w,. .. ,. a ,,. .s �. -, .: .2. -�°. w ,�5 .. ..&. . t .... .>3. �t .... .,�, m a .:a€; m. ,.., � .. , ..n..,... a ,. ,a ,, ��,. sos, �;,: ..,,. � r ,.,.:...� r:.. .s�:�.,:,; 1.�... as.�'.s � +. .'Y. ..J .F +Y, d ., .rte. 4 a &J k.`n: Ce.oF. .. ➢ , 'te. ^F. ..@ A.✓... w. �, d ,., � ,.. 4 fA <n ,.:?..,. ., )� s •...r o. Yk .,. . � .:� .. �h r... ., .: ... �, w +. .. :, �, .. ,.. .. -.y. r,,. <�' -..,." , ,,,.. .3. >. � S a L. .fit, .t�.- .. ._ ..: too. {... er>. .,, ..,�- „a a ,w�. ks' �- n''�'�5... .,�. a;v ., ,, K4„a "?.,.. >.. �:& r. �A. .3?"'� „.. L .� :3 ... >. .,... rs '` �:, .a. fi```r !, r. .... k'iF ...4 ,.. ,�:,:. v .:.. , :, .:£. '.?- ,..Y's:, i $�.. ,v v � �... �a ....r' � � ter. .r. ,..,� .. ..� . � K� �^z� x�:x , .. „ , . <... , :..,� '� ,.,. , �... a, r. a n � sit �,,.,: �,. :.. T < �r� r 5...,> . r, ,A `a ,. 2�.� a r 9. . � . »- W.4, , S ., n'�r:.,r . Y. L. .. .. -,k, ... 5. � -.. ..3' S r. 4 . v�/ . . � M - Y ..7 t %.:5.. _.3^'... AX ,�� c€ .,� � `� �. se �. .s. rs* i.., k �.. �.�. ..a. ..., � �a � ,.,, ,� .:,. s �,.v.. K� >e..�*. ,... .. ,. >'- r .4:� .. .. �,a, ova ss ,,.�». : t"ry. ..:n.,6 }. ,... ,..x.. ,. ;�.rg . 3 s' �� ,�.. ion 's '5, : a; � �° �<Y . 'c,?.'ko ro�i . ?.., /.. ;� ,o.'” ��� '4x 4y, :.,.' �N : 4..ti,'r•. . >. >r. .<.. x r..:. e. , : `Ds^., ... a .c.., .:.:...3r. ,..'.: .0 .. ,. - 10 L.. °? '•; � �.. . x ,. , .: z �: r >a z. �� �.�B.us��. ORRI Ia ail n n, 4 ,. .: Section ,. .. J ©,ROUTINE ❑ COMBINED ❑ JOINTAGENCY ❑ MULTI - AGENCY ❑COMPLAINT ❑ RE- INSPECTION C V C=Gompliance OPERATION C E R S V =Violation; 1,11 Minor Violation COMMENT y 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) tom= 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)) M EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) 1010010 4M ±mss 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? ❑ YES ,Eli NO Signature of Receipt Explain: Inspector: POST INSPECTION INSTRUCTIONS: , Sc • Correct the violation(s) noted above by �•A "x �'' "` "" + Within 5 days of correcting all of the violations, sign and return a copy of this page to: 'Signaftfie (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 $//14)