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HAZMAT INSP INCOMPLETE
FACILITY NAMEA,0 INSPECTION DATE � I SPECTION TIME ADDRESS PHONE NO. NO OF EMPLOYEES FACILITY CONTACT BUSINESS ID NUMBER Consent to Inspect Name /Title YY u... " o:•. ,. ,. .w . . wg a i., . .... . f. . :M " , . £ a ....2 ',: " »i > . 3' `LF e... S = sa.... a ,, e ,,. n. ,.. : off.. ., o-'9, S!q... .. c.. ?., aY. t:.r %4 <$ ..,.. u,<:4 'e,., ''%s'1 ., .. d���x. ..� FS^y5 3 :a`c, :< ,.�: ., �,,. h .. �K ... �,w� v .. ��L�� n �"'p '•F �.. �, ,sar: @.. 3a �,� [P 'w wk. ". ,- ., ✓ ..... x . .. r .. .., ..: �{ i � 4ti „x .v,..m .., S +. ,s:. L ,.'.n .., C Su. / '».: .m� .. , ,rfi � i. >f.< Z ,C• ,'aril 3a"s a; . !a nP., x eR , ,s " '`�.. `\•^� a . }: , z •,v . 4. ..r s , � w,.F� c '`a ,Yi . a .�d a" ,. F.. a� .r Sra.�, 3:x. r�'.n �''. ,�:. ,. ., , "y, " ... ,.. .,. ,.. "�,3', ,�9%+ .,',:.tea. {:" s. ,.s k. r: .a,x. .. h. d•. r o.. �,.' 'F„/n "x"Y. '�. , . ", .::� rss v$., ,.. � .... ..r.�. r�+»:'u ^. ,w rc. �'.., f...�•�,. .. ., ..x ix, F gyp.,, a,. � .s�:rx ,>•~., .s;3 �` �b�sa �a . (. �r �` �., � � `,i.- .s\ ,. „, r :: :E,r n,.4 �,.„ .,v s, .t' �. •.�r,+4R, '�' .g.. t.,. ,,. r»' m ,.>•<x� .,. '? ..a` �'.,'n s «v^s,'t \:ns .. �'" a�,.e +�',. 4"'„�w. ms,..f3s ,,se.wv� b a - . .,0-... 1 .11. , v.' ,a ' &0 1 -----w =. --,,3. n- ❑ ROUTINE ❑ COMBINED . � .. ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C V = ompiance OPERATION V =Violation; 1,11 Minor CERS 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, B,MC: 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 (CCR: 2731(e)) 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 i natureofRecei t Explain: - r Inspector. POST INSPECTION INSTRUCTIONS: 0 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)