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HAZMAT INSP 2/10/2016
FACILITY NAME INSPECTION DATE INSPECTION TIME 4w 't.r 't �+,,.,,, ' °°-72: r �' . +q t 7y,,. . -, 1� 'j,.:,�$..: ".,A, r«». #` !`y�.r•. �� ADDRESS ..�. PHONE NO +tr �' NO OF ,EMPLOYEES q 33 FACILITY CONTACT r „ BUSINESS ID NUMBER r,.,. ��:�'�.d"� 1 �q� 1'1�'.:.��i3:.,c'�� ,�i� .'.e++'�.r`'re, � ✓'.i. � 4'aj ..- �� -: .» v.+' 4.s,. ;x � Consent to Inspect Name /Title xre `x.. ^M1 ., ,w i 3.. a+Y,. K. ,a Ham, �.fi s, S 2 ✓.�. 'S,"'.. :£,, ada xJ xF < �*x: £aai is a. w . §L _.:•R,..,..<xa ,v. �, r •'o,�v;>a Ke.. ¢n. /:w.,. ::. )n u ,.a.�9• � . .. , , ..v x .. 3 ., , w` 1 <..n i9e,w . f ..... L,..' ..:.. ..; >v... ,: W3i. .. i� ...; ? 'r. ... :..0 ( 2' 'i4. x .v ..,?,..,. ...x -z. � .r i a i .. �... .. ..s. ... . >s , >.,.a .xo �2�e .ir.- :..n e., E. ..... 3„e a•.... w! a i S7 .. ., . . > ... .. ,F .. .� .t" � � .m;; .�..: f PL., a s�yse .# ,. , ?Y, < 3 :. "�? � ., , ,. .. .0 .. 5'. A a... <,... fi »"Y .> .. .,..,. 3. ,.� �`>: ,. "3$"�. x s:`a' a A... x�v,.i �, 4*• 12f h n, , . A�., �( � .. .� 3'`F A ..ffi k" :xR PSI � �`* F. Ra. - g1•i. y,... ri xs :sa`x�.,a �3- i F .. a�i� a'� Z2W` ::Q.. s. �' S <a �„ .'J'r., .. >. ,. �:..., ..., r. �v.:.,.�, ae ` r, e. .. :. .,, �.: ;.,>•^xr ?' �< s„ „y... '\r,< a°i .,.> "�:,.. ., .. rre4`8 :.x?. �„ .. , s. .°,.•a ... �. x .. ... ,... t., ., , ., ?.zr._..aer�«.. d�3'> .xx.. ti's ,,k ,. a`, � - ": s 'q .n �i. , .> �'✓ .'� 3 `� ...�,<' .�'S ,.�;x,. � >r.'� ;. y'& a Si^ � ' �1% »4 L '. b �kn AC .:;rt� yn:.' �i a, ...,. �t .. xn.. �,C". ..:: $mz .., .. "�55,. ,e. e s..x;: " : 's 4 �r. :. t� t f .. � . +.. .., ! f :� •e .1`:. �,r'�za• >: `�.. „G, �. S 2�Xx."r' �., a rr,. .: �. ,s 'a3c ..., "xs. ."Fd, � .':5-:. r�.�. �., a r»,W ,.. ., a' p, ,. a •.`...: 9. .'�' ..M1:�k 3, �:r $. "�`S ., �'i§%2.., -� kG'r. D,3x�. Y} 5•. 'Y� @ 3'r3 � �� ' "�' z a x`:C'� .bra' �w T. n Yak`. r3s> ., 3; •. .i .:4 ;. �u�5� „. 'd' x .,w'. 4,, .2,. .. .. ,: .: .. : ». a.. .. ..z, .'�,,� .x�: ,. •s. �.. .�.•'3` �? .�.. x.� . w .;. '93 � ..R. x,C ,..,.�.';. r{$,..axw .$ � �v:irvr..,.'scn as,._. S,'}..i� .,.,.....1'...w H :..)� Af<...�`J:s. � ):zs+::.G:•� \R x�'�';a?;.L.,e....�i�,r,"�`Zmti> v ;£r w'3i /E ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v = ompiance OPERATION CERS V =Violation; ljI 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) 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 P VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c)) r 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) '"I°''� '",� `”. . 'x .3030032 SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) 1010005 ANY HAZARDOUS WASTE ON SITE? ❑ YES E. NO 5i nature ofReceipt Ar 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)