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HAZMAT INSP 5/7/2015
UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1 Hazardous Materials Business Plan Incnar_tinn FACILITY NAME fp F INSPECTION DATE INSPECTION TIME C V = ompiance OPERATION CERS V =violation; 1,11 Minor ADDRESS - �" COMMENT PHONE NO.. NO OF EMPLOYEES N FACILITY CONTACT — —: ;p "_,f BUSINESS ID NUMBER ' APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) 3010001 {[ BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) 1010008 onsent to Inspect Name /Title { VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) S yy; �: .. , . : r .� �. aa".w . "'mum .. .. . .. .. _m. e , . �`" i - i� �. -' a „: vr'. � ...<., ,. .. . a. , o-,..a S ..'w•... k �: ,.,., # . Y . .. ,. INS ,d'�,ii b ➢ w .. ... ¢ '3 ,xd'° ae, z��ENb` .:4 )� . `S� ,n •. 1. .. ,.� k. .. ..a � .. .,, F..��,3'. Yk .,. u, .. . .. t..." �,.: ..,. .v� ?E. ..: ,. k�.,: :.ro.,.. o.. ...R 5 3t .. .,. .3 ..c 'h?,»4 .,.: .3 w,.u�'....,. is a ... 'Sg a �: `x. �:�.:, vF.� .. . >'l'... "'6,Sk.. h x � E ... ...,. �. ..e , �. S�.r ....., ,,,{ «'a .. �, . ,.. ...,. f, .,n. ». :x.,., r ,.... ., � Y+ vw,.. ,'�'. ..in n iu,K ..9 ".S `$' .:5.. 6.. n, e.. N. i2�.'.:,k i s,,. R�". A. r ,., . c.3 ., „ r �t tK ;, 3 -:sa. S ,. 2., ., ,,. .n i.: >.,.,c.._ «X w. , %.,.sc... a.k, A, <,T`.:r.n . ,.� «�a �%..�z: ,k � � :. : f�. a. ,,. .,�., ..,a,o � z„ ,.,W x .v «<,. «. � .+.. �s":: «.... 3 a. �� -� , ,, 5`. >N... x , ,. §,. rr .�.- r. ,x ..<- ,, ..,:m. z,,,, .: ,<,x �. ',* >. �...,. r... : ¢s:; ,a�, ., 'w.., ,� �^ �• ..'i �, '?L:3wxd�v � ?., ,. ., 4`,.. of .. .. ,. ., - .,w � ., .. ,,, .. .ar -..i -.. i«.. '� : r. •^ i �. `�€. ss, ?�y . 't^✓�..,. t:.., a n� ,i� .., .. p� '..l .s .:ki � ., is d " ."f�'ei•` ..,`3¢. , .. ,�,.,.., s.'Z'.e. �^ .. saPfr,�.�, ,.'� asc',�:«v,F"ve �E,..,,...�� &,RK6,$,:.,��3,� u�,'4.,e^'r��t'i,s,�,.. �'x�,.,, . «,..x. iK'.. ,..'nv'. '�'Y,n�"3vs °..Y'e���� .��"". 1e'c? ,3 h,� '�..aZ.e.:�v.:'��z,i':S 4.- ,r;��/nx .,..'?,"�: ✓.,9<7�. >,:,,:.. $ m. 2. 3.,;Z,.:. �.. �. an�. t, fi�' � '...5%S„:e<,,,cZF,FUv"�'�'3e.,. 5d�3,�Ja>.0 saa3h .:. «,. �£.0 ..,2..<.t ` i:,: e':. h ., „.,dx.(`��<.,.:w'':,bu.,ral�u �x rt <b ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C V = ompiance OPERATION CERS V =violation; 1,11 Minor Violation COMMENT N ' APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) 3010001 t BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) 1010008 { VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) CORRECT OCCUPANCY (CBC: 401) s s ) 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) i } VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b)) r.- VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) 1020002 tj 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 i natureofReceipt 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, 2101H Street, California 93301 Date White — Business Copy Yellow — Station Copy Pink — Prevention Services FD2155 (Rev 8H14)