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HAZMAT INSP 4/16/2015
SECTION 1: Hazardous Materials Business Plan In�r�oE+tinn FACILITY NAME ... .,i .. <. „..... .a � :.n,::. .,< ,.. .k.a,. ., x•. .\ {, i... :Y .. � � , �, . e• .�.. :: � u � k .Y fi” ,<x,T:• 1' ^�. .~<' ',�'� _ � a ..,- � ... ., ..., =3„ ,, .r^ .L,. 2 � i; x< .. .. .. ,':.;e.. , £, , o'.:m. i. ... 1', cr... - ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION INSPECTION DATE INSPECTION ::TIME C V = omp lance OPERATION CERS r V =Violation; 1,11 Minor Violation COMMENT ADDRESS -g N 1� �` r f �4*vJ7 PHONE NO _, `^'° NO OF EMPLOYEES 3010001 C •`� F `..v, 'Y.!'. r j, \. 4 Jr —t . ,f \,} i x:e.� rv+r F FACILITY CONTACT .., VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) BUSINESS ID NUMBER CORRECT OCCUPANCY (CBC: 401) _ m Consent to Inspect Name. /Title VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) „�.,. 1n kx, . �, , F s �:':, ' 0 �.. :av, ✓ -.ex W is ... „.:. a. lx fi,.. ri.< ... .,i .. <. „..... .a � :.n,::. .,< ,.. .k.a,. ., x•. .\ {, i... :Y .. � � , �, . e• .�.. :: � u � k .Y fi” ,<x,T:• 1' ^�. .~<' ',�'� _ � a ..,- � ... ., ..., =3„ ,, .r^ .L,. 2 � i; x< .. .. .. ,':.;e.. , £, , o'.:m. i. ... 1', cr... - ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION �' C V = omp lance 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 VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) CORRECT OCCUPANCY (CBC: 401) _ m 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) ..fir VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b)) r� VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) 1020002 VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c)) ti. 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 8ignature 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 s Date White —Business Copy Yellow — Station Copy Pink - Prevention Services FD2155 (Rev 8//14)