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HAZMAT INSP 5/5/2015
FACILITY NAME f` INSPECTION DATE INSPECTION TIME ADDRESS r PHONE NO NO O.F EMPLOYEES f• ny„ pi u„r f��>,. w✓ � � � J'� ,—.tea' FACILITY CONTACT BUSINESS ID NUMBER` Consent to Inspect Na e /Tate n.. 'Y'. a ,. xs. •"` rAxz�. rr s/ w, ... �a .a. '��„,� .. ..>.,.M� :,$c..r. ., :•. +„ P r'Y ..,d .fix ...ye,. x .�: 3 Y• .. ,.e :.9. C1 2^�b Y. v.� 3.. .. .. .. 4 < :: x ,... ..; 3. ?'. :, p•.., >�i .^a, "t a' 5 u w.., ,1 II.:.,: ..... 3 ,.a. <.. QS�+EV < 'a :x. ,. b,.w L. �, . .,, •� ,L. .-Y. ,.. „, .,,. a, .:. a.. .>.,£ . M1.r.� .. :. � .. r. u,.. .,. u.. .:. eu... .. } ,R.n. ,• ,$�' „., 3 a a., , ?.�. ..e. .., •t.. ,. x. ��P.'.a a. 'xw, sa>z rr, ., a w, 3.. .: z: :,,... <r`.?' .u.,, _ ,. .,,'.., gY.< . ..,..a.b?r .,. >•<,a,,,.,: „.. ..,F... ..,. k ,......<,..te .s*. •,�.� r.. ,��r a , ,w:.:.:; ,a s ., wr.., -> ((.a rr£ � � ...... � a.,s._. ��<c. .a s.' 3. r b., ,.3•'.*i;. :a,v z<.0 ': k a >., w.a.... .. ..., r!1'•. 4. a,, <, .< ? ..x. i V �F ok. >. . i•. � .u.. ... .?v. � S�.e . <, e P ..<..z.. a � v >`.. 1. IY'... �,.e ::.,.!n :, .r. s>x; ?L. ,,.. i � � N £, x V x •ks M �,"" Y � uv',fi 4!' �< . �" '� v n^ :, R i ', < ..,. . € F '. ' - •FS '� ,k....' �Y.., f... 3 K> %':.: , x k �. 'a r, � '. r, � �.A.. '�_. `1F�. .a. : ., >. ,,,. ., s.. ,. > . :, ..x >. c .�.,6. k':..� .,. , , w., • :rx f .... - ,•�5...< > Y;., 3... ,. ,2, ,. � x_. a .. ,.. ., : s ,: ... .� .....x£. : . *r <r .±'t :�:.. ..;. u,'�." .,�� r Y w . �� � �<.. >.z• � . , � . , \ e ' K., ., .n, . ^ .. r , .. ,. ., > ,: < ., e . x,.. r >� 9€ ..rsa >;. a >,. ,°.�. .:•` .., �• < � k rNa2m a : .., .... , >gy2 , i., s . , ., . ;. � a M. r. .. . , . . z . , 3 E F ., k.F" .. 5 i 3i� az a. a>*•. e.Y .•: R ..�s�x a 1% a. >'�,- .. <:, � �,. a x ^ ,. - ' , , < �$., : t < s , I�.:. . �. ., � , . .. x :`t'. 1. F"' .. . v. d. .,>�". : �.. .a-. A.. ... ad. .., .... 'S m.x,a .. 2•. s� .r£a'......, x. .. a. Y c> � sw .. , a,'�::,"s>�°'��, m. `� =���e k6.: rS 5���9.£y5,. "r�r,:,` sw�•.x �:;,�'II�s��Y ¢s �,"xG.�..:._ ?�xx:f, fit, . i3,'.'�i. •: tSt �dC. -,.ifw .x��T\YWns. ,. �:.,:.:,.:,,�...v> >Ye S'.�:::.a �, .:d;:: ,.3'.hnr.n i�L, � >,: <k>.r .,,1 Ya,.: k.. n'4xk . `J*s•k'�k.a . ...« {:. �s �1 ,en's',n>F":x�,.L..9 . .8... h®` ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C V' =Compliance 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) VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) 1010004 VERIFICATION OF QUANTITIES (CCR: 2729.4) 1010006 VERIFICATION OF LOCATION (CCR: 2729.2) Y PROPER SEGREGATION OF MATERIAL (CFC: 2704.1) VERIFICATION OF SIDS AVAILABILITY (CCR: 2729.2(3)(b)) VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) 1020002 r 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) s FIRE PROTECTION (CFC: 903 & 906) 3030032 • SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) a„ 1010005 ANY HAZARDOUS. WASTE ON SITE? ❑ YES I;kNO Signature ofRecei t Explain: Inspector: 4- A 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)