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HAZMAT INSP (NO DATE)
UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Hazardous Materials Business Plan Inenat -firm a BAKERSFIELD FIRE DEPT. Prevention Services 2101 H Street Bakersfield,' CA 93301 Tol (A411 119-W70 7Q FACILITY NAME INSPECTION DATE INSPECTION TIME C V =Compliance OPERATION CERS ADDRESS PHONE NO. NO OF EMPLOYEES r V =Violation; 1,11 Minor _ FACILITY CONTACT BUSINESS ID NUMBER onsent to Inspect Name /Title ,t :..: .:,:.: , >a 5::., L: S•' 3,AaV : y k < \ h'k i? 3 V Y i uRk> } i/ {3>. :,�,., xx 3k i%r x : .e. Y YT a . . � . , : 4 < . . f Y A} . . x -. a •k ,Y ' a . a . � . . x 1 E . 5� d � .. % ...r:F' . . �, . .t t .�� r5. , , ..�.. ... a . .<". . . L ., :. a . . . i. . ' , 7 h ¢. .v ,A .."...r . . , .. r ,Y ,. s . �, �V + . . ... > ,.. ,a. :. ', .- 3 . ..,. . .' . b .,. , „. >� '' . ,.Y.,u E . s 3a :•n , .d x. S2 . '✓{sG .� 'a. T' n �. . �& , .„ ;.. , > , ' � ......: , :... ., r, .S w . .., . , rL , ...� .. �f , . .p. , � � ,T a i � r .� .s. 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'.r:..s'_, '£: c.x:4r W >, eSa% �a ,',..,'�>5<on'i.a:.�,[.:r'u�`. �. �.,•�( �u.+��`?����>fte���lu�"e:��CfiRa �:,.�.. £�n�y.£.'f... of �i"i....3N.,... i':`�.T � '.' >i _�s.. w..:Y. � 91...',. __... ,x Sz''�k, 5..£. ,.X wrt .>. 5'. %Y...>aF J ... Ri•�'L"m•'n"Z,j,. <: >w'"'�a� a�:,.w z._e f,e ., rk.�: ffu. ,a:s:.aa•>/`��.s. ,. > ;... , ro., ,.4r .. ,:.. 171- ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C V =Compliance OPERATION CERS Violation COMMENT V =Violation; 1,11 Minor APPROPRIATE PERMIT ON HAND (BMC: 15.65.0$0) 3010001 BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) 1010008 N VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) CORRECT OCCUPANCY. (CBC: 401) r 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 (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 � ° "' NY HAZARDOUS WASTE ON SITE? 171 YES ❑ NO i nature of Receipt 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 14 Street, California 93301 White - Business Copy Yellow - Station Copy Pink - Prevention Services Signature (that all violations have been corrected as noted) Date FD2155 (Rev 8H14)