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HAZMAT INSP 5/21/2015
UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Hazardous Materials Business Plan Incno►r+iinn BAKERSFIELD FIRE DEPT. Prevention Services $....... . E...._...._5...._F...._i.... ..... D 2101 H Street FtR E Bakersfield, CA 93301 ANrl T Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME INSPECTION IDATE INSPECTION TIME 5 n � g as r APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) ADDRESS � ' "' PHONE NO. NO OF EMPLOYEES ,�,,. i, w 1010008 FACILITY CONTACT VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) BUSINESS ID NUMBER Consent to Inspect Name/Title r ' L $ �-. . ' ,.. � �s �5$ > a o � ,..�Y ' & . 2 , ....s a y" ; :.� -.<. ' ?R'c c:' � .. , ' . . , .. . , ..y . ' ,', ..,. ..' ;. . ' .': x . x, w x „. ]. ,. �- . , ,: e, .- ,.x. "' na .... , ka' .4o..: . .,."t :c 5: . , . '�.m ,sa, : s� . <a.3� ... x. x, . > . x „ 3 . S'� C . s. . >..sW� .x. . .. . 2e.. . ,s .. . ,3, , <.b`.,S ' . .��_ . e. , .xb t. ,� �., ,'�: x so.� . '3 �r .: u T a.. :. . Y . . . 'r .�...«i. x . .. ." efi. a. e r .a.K . ` m9 . �s. `.,,. .sf3. 5 . s,. , . 5s� . 3,. :ax, . r.. � ,� ,.&� . „ . .V .Y,' a+.x.�s . v . .. $ , rk . .: .a i > .5. . ,'k 'n.."...,...t. . . : . , , « },< K�.o. . v. '`,4 . .5., ....,v:.a< ',, .. , e i . , �".. c ., F , , E 3r. xa :. ,s F , :. ,.., .. .a . « r.. ms` }, '„ ks � a. .e `i. � �. + G?�e. ,x . .. ` � . " �. .n v' . .P . x ¢ ..s . ; �,ta �n..+ 3... , .' . . , x« , � t. k y ..... . . ,. . o- � Ye. 3f <. ' Cw. , .¢ r r�`, s .$,: . . . D s Q x ,; ,rF . � „ .' .. . . 4 d,F .t . " , . � ,.s . i ..,s .. . c - %ri �. {« ' , 1, iu.� . , �.. o�. ., . w ' ,3k :. .m ',,< : > . .$ % r�r " ,.,r. . , �Hi. , .. ” ., ,�.. . :: c , � ,..>.xs : ?.< i. „ .�✓ .c . ,s .! . , . .'s , > �F.. �� ., "... . , a ...,. .. .s .a� . . *... , . a .` `r.�s !. . n<` . .: � . , + .x..... ,.. . > ', .vF,.t . : . , � i$ . 3 ., . ��, v t3�,, . .� 3. , . . � , . : �.,,.a�, .3 . x; c . __ . . a euS.rx 4.o . ,, . � . "%S, "<a . , .: . ak � � ' ,a aa. Ssi?'?W ,': ?. . , r.n..0 Y:.. . tt�. s ,`N. . .� .,. . . , t<�.. .. s. >, . ,3. � -< Rr � .a r .�. . . zx,,:+s. . . . 3«. , . . ,. « 3 ., . ,6 . , .:., , : , fi .. . )x. . i . y. a .- � o c"Y .i,„.x. .. , . r' ' . � S n . �. . , .� v, . . .. .2 Y. ra. ` �. ,. . .. . . r; ,a er.. � �. , .,.,: � ..k ^. . . Y. . e. r: % , ✓ g�.�.�` . ` A.',. x �.,. .,.�, �c. f,, :S. «x ,., t . 3,<. 'a� 1 a" ... ,:F �. .3 ,. ..... .., s, .. �' �y - E�. ,, 23;x . �,,, .v, Y, si. ..... ;A ,�..x.'aa •it ,.Ys�. -.. .vs..,,s:z3':. s 7c>.FY .. ix.�t:.. �, . �'.,. s 5„x -. c !. � k."� 'R3:,,oa"x. na°`w Ak ,$'. r r . ....:... , , o. ,. -� ��.,: � }y . � *s� h, ... a>?.�,'e..n..., .;... «, . � :? , ,. ,. ., ..a . � z. -... 4 . ; „ ... > ., ..n':^x �� •u,'s. y : ? „':s>"y `�' � p „ . � �,>:. • .,..«.3�' ,, .. . ,. .a,. ,.'.a. _ 5, .�. re .,..,,x. � ..:�... �` :. [. ' -�i. '�^.. iii/h �.. � ,. u.... ,,. �k..« :k,. .� «�e ; ,5e,. ., u "'�•sxc,ik. , q� � >,. � .a Yh��.t,��"����aV��oTw.riv.E�>�� �w�uS.oi4E.v,�.'s,'PS:�, �'SS r,.9 a. e'.;�,�'.. �.m:. <;+', �',i;.W ��R'saE�.xhT� uai ex.. �' H:.. a- Si;..ka�,�a�<w&.'�FrFfr,.£'z� >n u>J�v�'s �,s.x. r,, .sM�„av asax.`x\oo. xFMS^ee; v. r<aRr .Ye, X"..:'�, x,�x.�., sf'.✓ .s�s',.,".e <"h'�a ..P.x.. t ROUTINE ❑. COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C V C=Gompliance OPERATION V =violation; 1,11 Minor CERS Violation COMMENT F 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) r 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 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) 3030032 SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) 1010005 ANY HAZARDOUS WASTE ON SITE? ❑ YES "'G., NO i nature ofReceipt 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: 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)