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HAZMAT INSP 6/4/2015
FACILITY NAME INSPECTION DATE INSPECTION TIME �. ADDRESS PHONE NO. NO OF EMPLOYEES FACILITY CONTACT BUSINESS ID NUMBER Consent to Inspect Name /Title �'q�yr �m'f>• ,s k'x v.,r. �J 1 e.r,'n5 -. D �, :An... .;:.. �i.,. z.x''.. .v ..., ..M. a4dd, s ... y. . S, .`� sf £, 1, F ,✓T `a'Y ..zr^""x,. ain,I„ vl hu e.E >Y :CW .P ... k'`i>: ,. .,<5>,. F x? .. a , ��. e%✓tl ai'�+Y ,Y1 �.#, �x�.. 3 ,. .. _, ,a%z x` YF ,i` 'a .,. 'S�'tl � y,. ,, g�� � u.. 5.r.,... v .. '..�i..� ..,- i'v,.. �`.., ,.,�.. ,... ., b ,. .✓�?_ ,. vx>rr..,a ..1. aa. � :' H ...._�Y, e. ¢¢ rv>��.. n -» a, u'. :, ..%., .. 4' &°'.b 'Kw .R<'>v, •r. is r � a?� .... r .,fr� ',Jk's . . . .r^. „�,.. ,, >. ... .x. �'� Ya x.:� e. ,- ,� iav ... .a"sXv'%,, .. 4 .. �. i ,.. F4v =�> s.. 5 �. ... : #. w .. Tc✓,,XX��.ri %. �'i..Y' di. £ .e. Sr,>��gg Yi. .t Y'a ,... ...' �, u.i.. ,. }ta`�u,�C., h . w. .. aFn., ., � x - . x . , . >�':E. o� . .a '�5$. ,5.. .n. ,w , .. . fi % � u R '� 4.:a. ..: $5. ... ,?.�. m..? .'a?, l`.'aa. .. '� ., 15.: ay ,.� l Y vd . � .. �" H v��'r`„ •� a.. w ..'�... ... , . . ».. .>.. 5xx r, z..a'�f £,a'Y �. ...a :a.�;,� s ,.�, , t: ...... .. t: :..>'�.1,. >'s, .. ,:�.a >..., , � s�, .. .a�a, �3a<.'�* ua. ��., d ,'#,''S� ,Gua. x: >•2: .3°..�s ..:5 y.�.:., �,... ., �.. � y •.. . ;i �R i , '3>' aC ,r sx :,. x �`'� y,, a % Y' .i k 2�_. 3 zr x:�, d .IS. , u. ....:. � ,,. ak «°;..... :... ,...,. „„yy a. i�# 3 ,�. 5. �; , .., ,. :,�, .>•v e �'.. ., .,? �xY�.�,. Y. �'`' Hfi...- �.wse ��L R..x,x. �. d '.x.5. rt 'R9'. YL.k.F1k�. 'in'3S.'�u. � ..§ 5.. ,, .'3: 3� .fir. M sax. sva,..,tx.,. a,i a�e,:s w�aa ». alf .a,.s La K, .a -�.T ,.. ,a f. ., ,.V..p, tte %i, ... ,Y .r:,. , R:: ,✓E :�%;' e .. a... F� «6'+.^..�.�:«a:u3y�� :�'.. x 9v"i nn�t .v�fX�.a£�'vs`s., ep ,k�2„ ...� a..^.e..: %2�.+4, ir.. .rt.u,.G.S p a�k.,. ...G.� w.. i., 51,.w.dmavae\ X%v`, ":,�`'„`_- Ta>. «,T.s.v.,p,x ,.. .,�^;.,,,....�J.Y.X„� •f$`�'afa»»!A 'eaAuLw, >.+ na. E. , .,,i'avW<e x ,w as >cvu>.C'L, :aa w a+ �':M43`"..'aw�r.�8^3.�r�a 8;4.✓,a.�X�d+V��'� u� M 3'C �:. b .e'3w��.��Y : #a 5� d .; 0 ROUTINE ❑ , COMBINED ❑ JOINT AGENCY ❑" MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C V C= Compliance 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 y 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) 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 (C,CR: 2731(c)) P' 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 a 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) .