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HAZMAT INSP (NO DATE)
j 0 Vj4e_ P 1A 49% BAKERSFIELD FIRE DEPT. UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: ' Hazardous Materials Business Plan "jrrAPrevention Services. r 2101 H Street FIRE Bakersfield, CAA 93301 Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME M- INSPECTION DATE INSPECTION TIME _ ADDRESS PHONE NO NO OF EMPLOYEES BUSINESS ID NUMBER FACILITY CONTACT ` Consent to Inspect Name/Tifle :" S w•Ss.< S „'; .s ,� i. .<., : ...;' X, r`.D. n 3'.a'a �, ea x\ :,!£ ,�5a^' �a xF ..., . ... ..✓ - ... ':,- . r o. A.. 3' F a. 4. <- .:'. 1. 5 . /. < ..� .. .0 2 .S' � } ...� . , . , . l fi. ,. 6•'i Y .o „e ,. u S . .. .. ., 23'' X. a�'... t,.,. .r. G... .. 8 F •.. ,., re, k3a?:. e. ,�^' W, Us . t. _x . '. .. S u, v , • „ £F£a .. �.,..' .. `a� ... n. ., Y- . ,.. � ;?: , .2 r ,. ,..�a'.:' . ' ,x.. #f ,. w', ea .. '., a., ....6"'4x' b n.5 .w., .�v. a , . , � ,.3 .� ri x r, . a . . . .., , - 3�' . ,e .'> ^`xx a ra .x. a. ..,. ,.. �E ,, xs. .. .�.. J . , � .�. '. ? . ."5 r-Yv „ E , , . r, � a .,. . a, � . : xv ai , . g� ,..: fi §a .., Vix e . 3 4 :�, . , 1.. < .�.i'< a. . ,' 4, �o. k -. , .. s: . „. . ..... .. 4 :�34.. ,.. .3. ', . , , ko.".. .W. ... �, .> , � m . .��� . a .,.. �� ., . r' .� .�. . � �. ., x •.i v� ” a <.r . .... .a ,i . . , . � s: x ..,.i ,, � #-.ree' N oay.. rE. ., . zViK.. . a � k>c,> •. e ; :$ < 4, . R . �. Y $. � . §, , ., 0 'e � i�. » . . ,. K i , , .r . . ,.,:. .bs..a.. .. .: , .3 ,.,. . � ” . T .ya.i � e. �.' ,. ..¢.aM n �mr, K . . e� .e. .R e `;.. .�. ., wxs < . . � .,+ .2 . , a \..e� .. h... ,v. vsJ "..: . . xr .. o 'e � , . +,.w k,.. k , : , . , Cu,<,au .,. , . �. A . , . ��<` �Y n< • �� te '�...,:, ,`u , �.n 's .. .rc.: a, . ,a .. � :k .x .. . .w . rcu. a . . . ..� x - . u '..o Y .. . ,. ., ,.a.x., ,. , .. , 5 . .,. K3.,...'..a ,,ax. � x. » F .r ,.. , , .a. , .� ' » ,,.. . H2: ' .>,� , ' '' . , � .aa%.,. : , J �Yv.� F. f , �„ ..0 . .F «.�. p��:o r..r .->. ,. �.. a.,:. '. . v:� : - � :..a. ��.. .'� ,.�. : C.<;� . ., . < d x. . r� ,, r . ,. xa .s.Yr , « .a. @ n . :� ...y . . . .: ._a�.. . . , em. t. -; ,. x. , .. a , , < ,y<.5. : . , ;. .,.i . � , � . .., ; a e ,....,.: , >�,w . �, o , R P 4 r .. . . n z b. , . � . . :: , '. < ..< �., :. ;'.�'� �i�' w.e� d°� a �+�`.. .s,.,<_ :. #r�'w �-. ,.��. .a.� ., ,. ,. ... .:... ...: ...... t:a.. ..a.. .. •,z� �aY ., .<.a�, 4., q .. .,. N. "� s.,,u%a . � ��'� �i /F' � .... .. .,, ..✓ �., x,. wr, a ,,: .. �?a 'i a � �., s t, �� �e'R, 3. ?s�9u . - ❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C V = ompiance OPERATION CERS Violation COMMENT V =Violation; 1,11 Minor x APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) 3010001 BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) 1010008 .f s r VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) r CORRECT OCCUPANCY (CBC: 401) 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) µ 3030032 R e SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) 1010005 ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO Signature ofRecei t Explain: .. 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: Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301 Signature (that all violations have been corrected as noted) Date White - Business Copy Yellow - Station Copy Pink - Prevention Services FD2155 (Rev 8//14)