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HAZMAT INSP 5/20/2016
r*e ..rC 1 t: .+w ...,•4, '! '. ";5 �rF .' -;.,;T ::`:: .,� r .. r n:.5.' .'rr 'l' , 7 n .`ii •it. b ,c ., a, •.;:�. u �frFn, �t a ti .h'"t, S 4 .... ,Y; . _ �f" sFM1 ^—A BAKERSFIELD FIRE DEPT. Prevention Services , , .. 11 91 R 5 F I n 2101 H Street UNIFIED PyRQGRvAM INSPECTION CHECKLIST`A'�' P� Bakersfield, CA 93301 ,�RTM Tel.: (661) 326 -3979 SECTION 1 Hazardous Materials Business Plan Fax: (661) 852 -2171 Ins ion FACILITY NAME INSPECTION DATE INSPECTION TIME V= Violation; 1,11 Minor Violation COMMENT ADDRESS 3 7 PHONE NO. +, 73d,�) c t NO OF EMPLOYEES FACILITY CONTACT BUSINESS ID APPROPRIATE PERMIT ON HAND (BMC:15.65.080) °NUMBER consent to Inspect Name/Title c, x .... , .- . .. `i:• .. . , .. >.: o :, £.... ,t,g v., .`k ...a. ;`. - ,z> x<,,. :2 . . ...- 13" ... „ �'••r 'v- ,.. '�,y. J .;�;, . Z �..Y„ ..... �.. -, ti 'wr. .., . Y , i.,r r. r . ;.':. v�y Y . L. 5 iE. t.. TC}£2 v., , .z t- �.,r ✓,., rY"d .,3. . � ... •S ,: 3:, -,. rC.. -. :iY .. w.. _ �,. rr.., , ,. <.,3 w -:. ,i('.. ... r.' -. ,. ta.s ,. ,nwf... Y. .. }"� �. � ..: ��. , S�. w:,.. s.,.. .� E<. � ......,...., �uw..,£5.,, ..:,, <: .,. r � x � K -� �'.. ., . , . z .�.�; �,,�. �, .w t s'a:� .;� m• � k,.. �.:.•� , ....�, �y �'•a ,y .... s Y ..,. ., -. �.._ r ,ub" :.. s� ;' , „. �, .4.. ..,. a ,;s• .. �:. �' ,r , „�"... . Y” .. ,. F„ his. -. c. �' f � -.. n . , F^ ¢ .•.ir 3', 14iv, .:�.:.... � fri �r t3n.. � .i .L -. , , .. 5 ..... -; ,� :. ,. .:, .. 5 }.4 F; �� �} 4 �'��e'.. 3� ..Y .. 1.'S, a+ <. R , v`• �. .¢ n L.�+,: �h- a. F �%�. P rd»,� 1n,.KfQz'u"w ah..G..,'kv .eta .>.,' �: ?���x<` 94�.,.; 9�. s. ., :rk!,:::�;m.,sSs�.k�.`F:.x.Es #.�,?u� �:� «" ��, tii�au•. xa��': �: vc, �. �.,. i,rl�ka��Y:.ns.,.ar.0 *,.,., -..a r."nxx�ACxk�fiE .a.,`�..�_.�c.. ;,., it » » ?a�:�cs�..�., :h:�.s..e•H�... �Latixa ,w.c•,'•�.1a:'Mcx. o,,., ,:''°!:;a.0'e,,,.,'✓�,7�....,L. a•±�x, >..ei"Cr. :... ,... 1. 5�,. e. �u. ...RV"S,�cm:�. »..S- xFw�'*t.,`C. _ ROUTINE ❑ COMBINED ❑ JOINTAGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C V .: = ompiance 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) s CORRECT OCCUPANCY (CBC: 401) Y 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) k 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 r CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5) 3030007 HOUSEKEEPING (CFC: 304.1) FIRE PROTECTION (CFC: 903 & 906) 3030032 I SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) 1010005 A.NY HAZARDOUS WASTE ON SITE? YES ❑ NO ISignatute ofRecei t Explain: S r' 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 4 Services FD2155 (Rev 8 White — Business Copy Yellow — Station Copy Pink Preventi//14)