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HAZMAT INSP 5/12/2015
UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Hazardous Materials Business Plan Inanoewfinn FACILITY NAME F ' - BAKERSFIELD FIRE DEPT. INSPECTION TIME Prevention Services IrANI'M R..st �D 2101 H Street � i Bakersfield, CA 93301 NO OF EMPLOYEES Tel.: (661) 326 -3979 BUSINESS ID NUMBER Fax: (661) 852 -2171 FACILITY NAME F ' - INSPECTION DATE INSPECTION TIME /APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) ADDRESS PHONE NO. NO OF EMPLOYEES BUSINESS ID NUMBER FACILITY CONTACT Consent to Inspect Name/Title .. a ,,.. , ,'. xr >e >;r.• ,n E r.� �- �z:� a; �„^ :m, a .,a radc'o.aa ss•...,x �" .qx 'a 8 sr'�;a+.� !, a > 3� ,a ., q . . .e - aj Y •tl' ,w r s ^ > 3 . c . � . . i i _ .; . . . .HA ,, ri .+ w $ ,'4, 4.. �.s �w N£, .. . ,, r . .a? .., 7ia , . . w =.. � v x , xc .. ., . : wa, .. s S: 2 - .. . .. mem x �? ., � . ^m . . 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E��;,,,, k: r, n��, ;;GT..�^??.'��a.°�,.,,...?„�'3. .w.3, :r,�,m.EAC:..,,o „RY. >az . �. a - ❑` ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C V = omp lance OPERATION V =Violation; 1,11 Minor C E R S 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) 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(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 ❑ 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: . Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301 White — Business Copy Yellow — Station Copy Pink — Prevention Services Signature (that all violations have been corrected as noted) Date FD2155 (Rev 8H14)