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HAZMAT INSP 6/3/2015
UNIFIED PROGRAM INSPECTION CHECKLIST _ ... -- - -- ...... __.._ SECTION 1: Hazardous Materials Business Plan Insnection BAKERSFIELD FIRE DEPT. FACILITY NAME INSPECTION DATE INSPECTION TIME ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C V = ompiance OPERATION ADDRESS r- PHONE NO. NO OF EMPLOYEES Violation COMMENT y FACILITY CONTACT BUSINESS ID NUMBER 3010001 1 ' �y � (!'— �+" ' .. ; ; �r' .:' � � .,+'r. i � �. r^ -` r,.+�'^g" � ^ �,d.^.., �y�-- ,.. -.�.: t•,,_;,; .r* ,,,, 3' F *, -7 th 1010008 � Consent to Inspect Name /Title VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) ,,,, i`i�. ...° spa r 1. b� .. n': aRt r .3 s. ..., x, x .;�. "• . ,, .. � ....x, r ,a ..;.:.� .. ..n , .. .° '�: w•...: r .a. r„ .<. �, -.� ", �§ :Y eJ, E:.. ¢,. ,... ey r .e� ..: . x' .,, . w. x 3 :.�"' x a s �s r kb. ....... ,�,. .x.. .�a% ,¢%r: , 1% r �i@,...< Yc,.. . ..i..... %r§ �. .� :.� -.. „: •> ..,A .wa<.. $%.rp .. ., �. .,.. r +,, v %� <.: 3'➢e',^. + .. x. .x . .. A � v , ., z ,.:f: yy,, u��r. �, .t.<. � s.. §,.rl.�., s: �,z.rL9 �'� " T �c�, a. `4•�. � T .`z .,�,s. .w, °. t. �i` ae, za .� � 5 a., c. „ �',..:x .v. „ .i �... „¢�:,3 t e..�� S. ..r �., ,Y�. , . a , ,. _, ,. ,£xE1 x.. � i=. . -G ° ✓ 9�. x.�... :.. v,.��IIx, .. .., i. _ ¢v �. �+, .""� ,v. � .$ ... s, 3 ,J „,.n? .�S Ssa .a,>F .<�. n,fi .R .�. 3a�. , �k s34i¢.. ,G ... .:•,a W., o.. 'C -, ,� v .�< > C �k�,..§r :�� .,.... S.. v«..o. <'�'.. , > 3v% :i ... .., L�, �.. ,� � ��.✓. '¢, x, ,,s' .,.. , a,x.,. x .',\ 2�., .. , . <r , . ''� ... . ., n S" . evxi $ ..: .v:, 4.. r. , 3<; , , �n "('� . i'. .. a £. S'. T .yw. ?° i }ea . ° . '�3fv±& ,¢•'. . Y. -s#� 9 a •.��r¢ . - �'.... 7' , §4 ' a ?, h-��t �€v. 5 �w, . ;t' k>�'$rm` . �, L ¢ ,y Y,?,k k.. ,�G• z:fs4.. .,Y . E": �. hro <zx.� , %.,: �. ,.i 'C� u'.,,,., :< .¢ 3�y"�'. ' '� To- ,c�.: ,. R� < ", °, ,c�.X� `Y�k. , .. �X., x ."vii. . 1t, +v'°.� ;.¢'X.. • "'�r4.'Nv �E > ,..,'�..:h r.... , ,:w. Y .,.,.o.. i%.., . <K•< fi:" :•C•Y �. h.,n ' �. s x?:;. 'P. ,. ,.hm. � 2.�.,z. ., �e «aLn.k•'.l.. pp, } D.>£',. ,, . 1... -.. �.:.o .. .q .. ,. i. Z � © Z'�.. ,br..rC:o>. ,�- Q;����,.¢.. k'�',n5. �k��i3 �4� ,. r v ., g s• 'kA %i e. �Hi" 8 �R,l §��o,�iawe �,.' �., ��i?�: .. .,sa.¢¢ ,. . . .a „ ., �.¢..��� e'3 hi��. u�%�ij - eE�.#. n:.. F3. F•..."."[ rc��, �,.:: e' oa' d', �. ��R1� .9,..S.o..�.:,..3+eN°3.•.i�.<E, r. �""•dib Sa, h..:¢S.. ...�.. )....,C< r ,..i. •m.S�i% .., ,'!k,,.sr<^!m.. Y, ,v�..¢ w.. >rr;ro„n .s,- .<�.x��!i.:�'..Z:..'V. F,�. ., so °��ebr�•�;v�'a���°�,5 �' 7���..�.". . §£� ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C V = ompiance OPERATION CERS V= Violation; 1,11 Minor Violation COMMENT y APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) 3010001 f 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) r 4 Ile r PROPER SEGREGATION OF MATERIAL (CFC: 2704.1), s r VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b)) VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) k rfM1�s 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 ❑ NO Signature ofRecei t Explain: r Inspector: K r POST INSPECTI'Q�i 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)