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HAZMAT 11-2016
FACILITY NAME - INSPECTION INSPECTION TIME d Violation COMMENT ADDRESS PHONE NO. NO OF EMPLOYEES ". APPROPRIATE PERMIT ON HAND (BMC:15.65.080) FACILITY CONTACT BUSINESS ID NUMBER Consent to Inspect Name/Title t own .r. mom i .uZ.x ,' -z � }. t ..w :., .. ♦ ,d .< :c / z <.�,. �t ... §k" ..?2,�, ,:. , Sd '!�,'C'Y , ✓. ,:ki ,�`. ,,.c?v .. h'# Y..�"e �."�. Nh ..,. .. t .'s. 8 .. #.,,i'.. ,s. ... �c k v „ <. r 's .., K° n .<a'.:.. .. .. HL. .. 5`' ✓ �. .,;,E L.1 ,... ,,. .r s an K, «.ln.e 'eE k>~...� .n. .. ^i �... ,.t.i „.. �.._ 'a... > �.SJ.., , .€i:.. a,.. �x .. 7C'<U....� _. :S. '. f x. \z••E. „r .?,. -,f+. ,... ,.. ..VA > ... ' ,e. ..,A ry. ... 5 .... .. rZ•, � .,. � .. . f'.. , , 5,55..0 n �`{ v. v<c 2 .{ ..M1 � ft' ?. F. �!�4 ....n.. FSA t�_ „ �.. c�v �.. �.,..,.r.,.. <,.., aj �.c5.,: c:. ra. :�..,. ... �. . 5 ., F. ......, �' ..$ � ..:.:.. <..<........ . , ,: .➢ � ,`<aa.. < -s,� ,.x.fa .. . � ... ,� �. .. � ...::a . �. ., z� �sY � r r5 ?u kn ,s .,xr •..f�,..., a, �,>. s?h.,d ,��.. � �: �� � tg, '��� ?�;: ' ... ..t, tr2 < .F �” e. S vim. K. .. , , :k� <�', " :. ; ` " "8 s 5 ": ,c �.1 8� •�:.' "5d E�Sfifr� ,� i, �?:3'. �,�. "v..z� "? �; t y .�'�4 .`t . e. ,+\ ..;� . �,<.. A•..: '.:W.. . '.L } ..x- rr: , <. , +, , 3 -, i. ,..< ',�. >A, .� R. 3..<.. Lc . `1f ,.,.. .<. En��3'. a, �� .s,�$'�i<i>•<��''t��'#,:��<r;. v>r n.�,�<.�s _.. �,,.,�,Y �,:�5 .e, &,"�n".a�w��t,Y, r+�' Lau, e. �' SY< 7b:<&.,: ry. a�.. kt5. s< a�,. 42<.. ifi< rze>., e�£ �. �. �rn<: ab'§` vx <.au<v.�<s�.�.sV�s„a��r,az�,�iu m.,,J..;;`z'? sad` i�a-a. �,: a` �, Y:,.,. 6n,.... �fe:,k a.,. �.. s..,.< z? Y,¢,.,.,. �h<. n' at, �s. tis�.. w. �:,..,, sta� `t�.'�<�''Wi'#Sie`kaakT'..,. n`a'bfi�... ❑ ROUTINE 'G'COMBINED ❑ JOINTAGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C V = omphance OPERATION CERS V =Violation; 1,11 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) l 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) r 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 El NO i nature ofRecei t Explain: inspector:- ` >-1-- 1421..J POST INSPECTION INSTRUCTIONS: • Correct the violation(s) noted above by 0 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 V <<:; . Date White - Business Copy Yellow — Station Copy Pink Prevention Services FD2155 (Rev 8H14)