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HomeMy WebLinkAboutHAZMAT INSP 4/1/2016i111MIC111cn DQnrQARA 1K1QD1=P'_T1nK1 P_141 =r_IC1 ITT SECTION 1: Hazardous, Materials Business Plan InQnantinn FACILITY NAME M BAKERSFIELD FIRE DEPT. INSPECTION TIME eY B Prevention Services $....... .: E...._R...._s...._F:...a.. ...... _n 2101 H Street A N r M � Bakersfield, CA 93301 j 1 .. g./' Y ir..- Tel.: (661) 326 -3979 Consent to Inspect Name /Title Fax: (661) 852 -2171 FACILITY NAME M INSPECTION DATE INSPECTION TIME eY B ADDRESS "--, PHONE NO. NO OF EMPLOYEES FACILITY CONTACT "w. BUSINESS ID NUMBER j 1 .. g./' Y ir..- �G) n^+3 '1✓ Consent to Inspect Name /Title .> ' , ,�r .......E -z 5. . a , #; - �. . Ys:' 2„'.,. ��fr .. _,. rtv c ' :..,, Ek ar,>::, .'.. ,,,. w : x ' ¢z P.:.a : >i< k e c > l:. .� . ... f : ' T . £ i'. $,,2si, , �> ta• , ' �>^ 3'� * 'f`� S ; ROUTINE ❑ COMBINED ❑' JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C V C=Gompliance OPERATION CERS V= Violation; 1,11 Minor Violation COMMENT V 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) V VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) 1010004 1 VERIFICATION OF QUANTITIES (CCR: 2729.4) 1010006 " VERIFICATION OF LOCATION (CCR: 2729.2) . PROPER SEGREGATION OF MATERIAL (CFC: 2704.1) VERIFICATION OF SIDS 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) v FIRE PROTECTION (CFC: 903 & 906) 3030032 l SITE DIAGRAM ADEQUATE& ON HAND (CCR: 2729.2) 1010005 ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO Signatu reofRecei t Explain: Inspector: ... , .- ... POST INSPECTION INSTRUCTIONS �lf • t e violations noted above b / v ✓t' �" Correct the O y • 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`" ' r':, Date --� /6 White — Business Copy Yellow - Station Copy Pink — Prevention Services- FD2155 (Rev 8/114)