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HAZMAT INSP 1/22/2015
UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1 Hazardous Materials Business Plan Ins ction aBAKERSFIELD FIRE DEPT. Prevention Services 2101 H Street Bakersfield, CA 93301 Tel. (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME r �4.. INSPECTION DATE ` INSPECTION TIME ADDRESS — w d c . F g�� `°•"`"w' { a .� �w.. rr`. �!} z .5 � t q„ "`"" ..>.'Smm� PHONE NO. NO OF EMPLOYEES � �.�,.«�`a+�' FACILITY CONTACT `BUSINESS a ID NUMBER ons4 to, lnspbct Name /Title r , ,• � � _ f ...... Y r ::e_: 'S, N .... �.. v. ,. r.. ,,. x P ., �! ,. .i i x3 ..3 � g. ..w,.: :� °•i. � ,. ��.6 .� . .. o- b .. Z a r � , : 3x' , T �.. r , .,. 3. ... [� . i. ... c.. r �. ..... . :,, � ..x kT„r ..... ,., akr. ., ;ga�� x �2?,. 'n•. e '. .. niv .. +.w ,. ?.. � 5;.:.:L. '#Y,'sla'�x ,: ,.. .. ,. ,. <.. ,.�,,, .., ro a�,`ro x„�, �. ,� ..s ,'fc 't„ -,... a. ,... 5.. 4.. f.,au �. .°`a v N3. ,•R:. , ,� . "x K. .8'a �? 'rT, .,.'i, . `E i,'g. : •.,t�@.."G < H. �.. 3 F£`i Lae. 3 ^'�• a,='�� ..., ril. '. S3. <� i .. ... W ., t.>. �k <,x..R ,r A.:� a : �ffi fib :,,n. x ..'A`>�v, � r. a � .. ' ..,d .:. d��P 4 : a . a. .:,' -•,.., is dU" e:i'..t ... ; ,,.+"!f'R+.� r , .. .. ,- ;.x'<: ,..t., h.^ x,l �"�. .,. ��� r>`. a , ,,:. � e � �a<. 's. , �n^ a, x. � .,. s .. ' -, e �t. r U �a .:..s " e •� i � �' ., >^�5; ,. -@< ,'."fir ,ea `�.'•' "' .. 54w � ;�' 3: . `F''X <� , ..� - ,'�' I,^.) a£ � ., z. ....:, . : ., ', Q•H.. , '. � x .� e.r. ) r ' � x , „ .n �, ,.. @ � sv i�, ,�yk .. " KLa„ ' .iwk5y,. Q x >E6.. 1.. ( .i� � �, r� a',1�y. yy +� .�! I �Y`n�#,..�� . � , i �� .,. ,5, 1 U•. _ .6renaY w. .. ,Y'xJ . A �. �` )S r �,,a ��� s£ t'., `��x .. •`. ,., �$$:. .. 3 v. �' �R:" x, <,.sE.. ,.a.. ,s H .. „�„,�(. � ,'..� ` b�l'.s .. � 5 �A/'�M' ,,,i IIM. ���, .$l; p� � 5 �`�. :g�i Y•$,,. a�." �,.'.L% �"&r;. ..R '„ :. , .. ..:, .: ✓. :. �y�. a'.p�£ xer $.s .•«�. .. ''�°�,.. � .£ �.. +`R ",:ux ,..a@'u A 5£•*a"£..s: �, r. �."s F 1 ",k , :, ,..,CdkS ':' fi :F5 bi'2%�r3 � e.:a'� R%£„�..;Fr.i:T :.,. 3° f, �n: 5' , �'. .,,•��.F:%,s�G�'�,sw''u�&u.`fi' ..3!c n'.w .�.-. a?�� &_x .�����k...��'z'L� ti'_ ✓m.�o.x L'�`S�c+._... .,,>:..��. �:,m.�.,;aAb.P Lie..,, ?aa #'.3n,.v�.,?'2;.,.3Yf+.'..:�,. %.,.,..t�a'..,,5'... .,,, s,rN:E �a�,,.+ u..',.�.*N�rx„ _,.P'_..�,...�a� ��.� ..�'S.. Y.a.. ..r.� x sb 1 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) mow° 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: 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)