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HAZMAT INSP 5/17/2015
UNIFIED PROGRAM INSPECTION CHECKLIST S E GT 1 V N 1: mmrcious iviazeriam ousn �ut Iriall Inspection FACILITY NAME t y ADDRESS } ,,f [ Q• FACILITY'CONTACT Consent to Inspect Name /Title BAKERSFIELD FIRE DEPT. aLA;JfrN Prevention Services . 2101 H Street Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 852 -2171 INSPEJCTIO DAjF,,— INSPECTION TIME PHONE NO. NO OF EMPLOYEES BUSINESS ID NUMBER ., . � c.� .. #" , �i.." . _.m- . : a �. ::, x �. ? „. . . s a . :,� � . ^,%.: . A � s.�. , a, . a , .s .,z .✓; : ,” , x< u •v.>, ... , . Y �. . ', ..S ry . . . . e ., �. � i,- � . sn� ..,� . ;» .� .�.>... .b..r, ws .>`, „ <:> ,. >%'.'�x `"r�, ' ,- < = .�,. ,.> . 8 , . r m d�:,..?, �' q.. .. .�. . . . .» : r ; .... ,. ., , > . b5 „,i , . x : k. : � x . n. . , . . .. , . >xt...' . .f ... . �. � ... a n '., " . .., . . �.. < .� ... , > ,,.. ...,,.. .> . .., � a�`t s� , � .' . . , . ', a ", 2 �<... , . ... „ . » c. � .� : xxi>r� x' '. . i , ��. n».� ? . .<.'.. , .._ h. , . .� .t r n�•. ��,., .. s,.. . , . ,k"y^ F ,... : ...s:ofi.�..e >. . r,� r x m c fr .. ,`y , S< »�x > .. s... ,a . > . ,,.. , . ..w, : . �.RD .u.,. , ..,.._ .r. £.l... . B...,:.a s .fi . � .�pa� .'A.�s , . . .q.^'s. ",_ .i 4�• s , ,, ?f " ”. r .t,\ t. ��°. w'�.�.r? <irt 4 so ar : =�. 3,k,'.". .�' . . �Z 3., s ' . A s -,. .„ 3 > �>�. °5' ua. ,., u't: •ik. mss. ,M.'i. a: x r �' � �.. � 1' r�*, ( �,y.. 2^” �' Fr. .L� a: 'A `:`�,t„ ;. '£ �� � � ..>m. �.. ;... v'e wi a $ ". - a:., a - f - ic.., .:; s..s :. $ :, ., i < :..� flt�Yil�'•. �'. �.. ire M 2 3i,x <% ., � .�':- t�'.'x^ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION = omp lance C V OPERATION ( E _RS COMMENT V= Violation; 1,11 Minor violation APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) 3010001 BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) 1010008 ra VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) s 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) r 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(t), CFC: 2703.5) 3030007 HOUSEKEEPING (CFC: 304.1) FIRE PROTECTION (CFC: 903 & 906) 3030032 SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) 1010005 „ d ANY HAZARDOUS WASTE ON SITE? ❑YES NO i guature of Receipt Explain: Inspector: it '�° t_: 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, I. H Street, California 93301 - Date White — Business Copy Yellow Station Copy Pink- Prevention Services FD2155 (Rev 8H14)