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HAZMAT INSP 3/18/2015
UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Hazardous Materials Business Plan Insoection FACILITY NAME , w, INSPECTION DATE INSPECTION TIME . b'.«.,I<M,S M � eP,a", p ",y� ryV.i'� � .' : ;: ..✓' i 4syy. ,+. •.ny_ g �. �, ADDRESS PHONE NO. NO OF EMPLOYEES APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) 3010001 FACILITY CONTACT BUSINESS ID NUMBER . r., xwq. g 1010008 Consent to Inspect Name/Title VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) ?, , .. � ._�v. r.. :,h x �;:-,.. ,, .,,., '2..,,4 a. �. ., <, ,�.,v<, a.. & .....:.wY .., ce,4 .0 .... .*3' r�: ,. 3v� s ,��,..,^. xKb•. p.. . as ;<; g' .c PM... ..,, ffi"§- k �. - .: F 2 ,�. . ��... <v. .', .�.'. ' 2 , n � '� ` € ,. >.� �, . ,,':..a, ... �.a ,� "s. , . xw` a . . , , ... .c.. ;e:x� ;. ... . .� .�. . , !.. c ,. „" ;a .• . . . , . ' �,. , $ ,_. : . x e. . , , �,a .., . ,. .. � , . . Y, .�sa �. , . x, , �rz. � ��". <.�:� , ���.• ..�,v �,a .g.� � . , .. � .� v.X,x,. r, ,,^ai. ., .ce.. > .�:^r .E k 's.: � >r ., x. 4! ,, , :�.'. �. ��.. � ._ ¢ s, A , a': . . �,�.�. ., .. , _',.��. .$.;-.. � . :. �E+", .. c .,r. :r . �, . ' � �:a. . �. , ,n . ^ X. • � ' •��.� �� V,.�.' .. �". . ' :., . � g> .;. » ,.. " �^�A : <. .x r,; .`. . . x 2r�0., � :. < ; ,:, A :z.v.' . : C. = � �Y•'"a' , �, v '« , � a . t. x x ,a, 5. A , . . , � i < �, ..lA: " � ^, '• f.,� "�e°'wc � e�a , . .s _ r, � : ..,: .a �,.� . . ,.�, , . ..'2 ..a..", , ' � �°x<..i""• �a . : Y � ?�w,� ' �'$ �:r v �.. +,s`��. �, ,< z .�. .t.Y ..3; .,� . ,,. �� . � . � .�•E` � � : ; ; Px ' �. � � a �? . .x ^ . ^ �f,y . �, � . ,v£ .t. . .2`. . ' � c$ . w, � .k>, �' . . . e' :bt,' 9 .> � , s ��, a: ��i .�. � 4.' .�� .. , ., . ., �; < � � n, R ;g d,�m.g, '�.2. ,. . ^� ' �, S8 ' r .k„ . '. � r� , . �a <.. .?. r , �, :� F :<� s ,��.,�.. .< .y... < . , . �..n , > 7 � �v �N kh° �,�s.: < an � a � ,:ow�.�, ° .x £.+.,. a, n.i .., <.�, ,.. 2 t'.�°<a�- . : �� x„r.."'��:,;. a. � o z a •�., � �9 ,`.. '���,s� ' � v .�. ,� ;�� � . .4 .. . .> a . , , .�,, � + ,a, .-r z . �� o� 4s�;w:.„ �. � ;Z . ,�� s � .. " � x � , 4 �a�R . z y,. x ,�. s �"X>, <if .:'u, o Y .'.fiu.&4 .. � e x ,3., �k;a.2,, .' . u � .a '.a. . t� ' hL h' ",s i<� a,, .� 2F a n& ' v k. "� a • ` � Y�nu..3 ,< .., .. '. . .z,�;< : . =� �,��. 3r` �!';$� ..< 3'„ r��+�c� . � . � . i A � us *. -� ,: .�/ sa�, �". 2 ' �.' �`a .> d� ° € a as . xa.',e� ',. . � ,x ?. z . � $ ,�.� F .,1 :x3. <a� x°� � ,�' E � w �� k ` � -a�� w `s i.; .!A°g s u' � ' k �s�' � ' : u' � '< w'�� ss,'r °l'^.�', "� . P' " i s ,,.c a'.v. a ��.�a' i �3 r .!, . , � i: a 0 . ..'.w � e .«.c ^ , w��s ga� • �µ . s ,• . �,' a.s� � � � `�x D . w aVi�n^� s f.. � c „,�"�a.�cs: ?,p ? r.�< `� ° , 6 �x ;.'g . h,- „ r`,e o•'�v �a ; w' �•�u. . . =« . , : , d � r�•, ❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C V C=Gompliance 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 s VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) r CORRECT OCCUPANCY (CBC: 401) s 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: 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 CFC: 2703.5) (CCR: 66262.34(f), . 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 15. NO Signature ofRecei t Explain: 5+` 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 8H14)