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HAZMAT INSP 4/22/2015
BAKERSFIELD FIRE DEPT. Prevention Services 8...:.: 2101 H Street FIRE Bakersfield, CA.93301 PROGRAM INSPECTION CHECKLIST , alrN r .UNIFIED Tel.: (661) 326 -3979 SECTION. 1: Hazardous Materials Business Plan Fax: (661) 852 -2171 Inspe on FACILITY NAME INSPECTION DATE INSPECTION TIME -177) Llct `. ; '. `'� � ' ` 3 5 011 ' ADDRESS � � PHONE tNO` 4,0 NO OF EMPLOYEES f ( % '+�".� ' l !,� LJ� '>�1..'6+�.:. /i�•.tj�..e` i�''% ! 3S C, d- FACILITY CONTACT BUSINESS ID NUMBER ff y Consent to. Inspect Name /Title f'.:✓ L A.. W R1, 011 A � '.,...x >. f,..w...” . •". � � ��. ... ........,> .. .. E. „... re ..::.... h x.>:. n •. . .12s uiS 4' MO. t.:• ...,.., e ..© n.. 3 f :. :.. :... ,. . P P r C MINE _..,,.. _ x � ;,.hu... k•e s , z, , .. .. ,: '� � �. A S;:M:!M+II �iI,Y>� >. .M .... >.,. �,: s. 5 AY � �V�,�o<.. 4 ROUTINE. ❑ C ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION © COMBINED C V _ ompiance OPERATION CERS V =Violation; I,IIMinor Violation COMMENT °`. APPROPRIATE PERMIT ON HAND (BMC: 15.65.080). 3010001 _t�;.�3 Iti.�t� ,:' �� wM' I" Q, 6�-?::.li j 11C: f h'-� (- � `' ' 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) 1 010006 -4 , 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: 273.1(c)) EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) 1010010 C. CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703:5) 3030007 r HOUSEKEEPING (CFC.: 304.1) i,� FIRE PROTECTION (CFC: 903 & 906)" 3030032 1 1 = -'r SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) 1010005 ANY HAZARDOUS WASTE ON SITE? 0 YES NO i natureofRecei 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.V14)