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Home My WebLink AboutHAZMAT INSP 5/5/2015UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Hazardous Materials Business Plan Inannntinn FACILITY NAME . - INSPECTION DATE INSPECTION TIME , ADDRESS ,, s "�` ' -w x PHONE NO ar NO OF EMPLOYEES FACILITY CONTACT „ BUSINESS ID NUMBER Consent to Inspect Name /Title j' ,F,,, on. mw �.., t {f. , .3.n.. . .a E,. . . ra, 'z ' �,.:. .. .. ,.. . �Lr�. .. . >. .-u,f. .a .. � 3 ,� . .. , 3x�s. ... w . �.r!. ` ;Lrc':, .' �.`e. o . S , . , . „ . ,.. . . . < -. , 2.3 . �:' tM. . , aS A ' .v . � . '� .�$'�$'�, ... .. ,. .'.. . :a,2 . : . .. . a . . a x , . 'T, .L � . . 1 . �? � ,. <,.wa. . .�£ ... . � . G.Q. o � �- .. ,. •��Y. ,. .F..s.:.s`.. Y .�... , : . . ,. .:ef..k .k, . : ,�. a . k .r..rs,, . � w.�. 1,Y i.� E ,' :..*� ', .d .S. Ja „; �'a , � . x,^ ^ , T z S",'. i. .f ..' . ..w .' • .fi # �„' .. ., � i +,, ';E , t ,.5� .. ... e.. n . 4 > ReR:, ^ a ;. s R�.o.-, .4 . , � .e.,.', . R$ . �. .� ,".r , .”. . . s . � s x au ... R2v. a 8 �:?�i� S.� wX..S.. ' .. x s e .c .. .y�.-� . .• ..... a ,. .5 F3.LY ,. .. ..w.. ..4.+ �.e.a.,S ,Z'.,X. . . a� � . , o- . , 's:a . , ' �o` . N ..�, . ` a �' < 3 . s � � § cz 3 r x �d �., . �,.�.. " . . .R O F. .2 T. s . /o-5 r'� i. �.« . 3 ki . s .a. ..k. f .a" .y. � f5 `,.. . . , > x.',.,, . E "� �.�,b �, . ., i..„« b ..i . , + Y,,; . . „ . ° � . . e � . . t. . Fz,1t .. , . . � � , 4 , .YC Art. . . :i x.. F .:. i ', .< .( .7. . . . ,' u i.T., . i .:. ai . ?, <. n . C &. f , r Sr' i,¢ .k . � ., 7 x ..e ..� .. » L .b.. .,.k,..R 5 . b ' g .x ..�C .. , re .. �3.. s.. . .a iL �. � fi . . � n.3 , n u.� , , ; , .. ,s...e. , . :� ,. ,yC1+ . ' ^+ �l :,..` .o: tt ..'. .. a # k - `Ya k r i ` F -` YS:�. W'. a".” �. E T kaLK. ��.. g � fi 3w a � v K : , : x- .NZ`a�. <+e .ay. .�.�. •.w w �f'�.v o- ,. Leaf . � ... Y .F P .. � a' v � 'Y.ii .��nvn, rvU ,� Y 1.. K.� �.. .Fn . .n,' <.. � 4... ., Y`. �F.. S..'3 i 5: "L:.t . S y.:11` , . � . &.' ,: :a . .. � ,' e f `ZY �. ..l 1� . r ' • "v k i. x__ ��.", .,� �� '� .�? <, e.., �� R �� :...i }EU,. � ^a. .:1 }.8. 'S �` 4�1., ?a ,a• , ,. .3 u,�� u .. .. . .P ...le< . ... .',g.. ��..y .:��M�. xi'..:: �F.�Le "'�m�i�'Z�S's, �L� 3�'£Ay�� S "`Ake +�2�.. «��•�se'C 'F�.�3E�5%i�.��S.�3v Et�',i'.....i'.,`,�'art. •?P'cww..,,...�r .3H.�..Ase . „�:,�.�'.'i�... _ •ft�"w$':.A'�'`2..�"�� ❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT S, RE- INSPECTION C V C =Compliance OPERATION CERS V =Violation; 1,11 Minor Violation COMMENT a 1,X APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) 3010001 erg "` BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) 1010008 { VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) �s "�. CORRECT OCCUPANCY (CBC: 401 ) ` VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) 1010004 F� ' VERIFICATION OF QUANTITIES (CCR: 2729.4) 1010006 VERIFICATION OF LOCATION (CCR: 2729.2) J PROPER SEGREGATION OF MATERIAL (CFC: 2704.1) �r 4� 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 .J SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) 1010005 ANY HAZARDOUS WASTE ON SITE? ❑ YES Cf NO Signature ofRecei t 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 8H14)