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HAZMAT INSP 4/2017
vwti, � wr u`"? ;r � :•�,es: 'a � �r 7! ' ;,t, - .. .ax "' .•.f., ,! _ .. ru s?r' .. .. NSA BMERSFIELD FIRE DEPT. Prevention Services B F 11 s F >f n 2101 H Street UNIFIED PROGRAM INSPECTION CHECKLIST �'�` Bakersfield,CA93301 Tel.: (661) 326 -3979 SECTION 1: Hazardous Materials Business Plan Fax: (661) 852 -2171 Incrua&inn FACILITY NAME :n.•.. 'nP' -.. - : -: m rr :,"F ' :.�.`..>.. ^�, wp .y 1'$. .. Si ., <'w'n �.. .y:-m` ^. 3" M'y '>;' �" •..� '.Ea. \ 2y5: <: �v, .. k: ?k.:.b6. Vv.�'t` k w.e• r �x� � 's ,.y � ,. Via. S .. • ,�'. ax.<� o... ,.. � ,{ ..4. ,... , n. � <.t. , w ... y,.. _ ♦ �' $ , . ✓: ..ri! .,'sW . S L .."v . 1,. ''. n .. n=. -..: ... ).. +... ..4. f 'L: ... ,... y.0 'i..� "t ia..:.. 'W 7�: ✓�, S '.s.. 'Y�. �.'rt., n: �$, T yy N< `�SU2 '�i... +S..P'" INSPECTION DAT IN7ECTION TIME ADDRESS .r . ...�; '.. �i•,y :, W'£ �...:., r;� T.I,Z'. ,K _.5.'f1. ?.3:, wuJ, o't. ._ PHONE NO. NO OF EMPLOYEES FACILITY CONTACT BUSINESS ID NUMBER (Z,� y Consent to Inspect Name/Title :15.65.080) aa,,,� g �N,r '.)+k :... :.. .. .. • .. ar. ,. '.. .. ::a �h :Jy'aL•'n. Y... `(Y .. 3�1 .:w, .'t.. ,G .?f.5 y.i: � .e•. w4a�'., s. „ ... ,. t 4 - .E<, .ro. ,t,. z: s. max*. . .. , .. .., ,. � 4' t .Y C' ,. 4•,. ,. ,.. .� 1�. � . �dz£ ,. v � h.. �.. � Y, S - S:. 6#. . _ ♦... .. H. ♦. f.... .... .. `s r:. .,..... ... , -.2}'. v -n e. ..... `�.. ,. J'v, art. � s .$`Y e-. .tY x^^?r _: J?�. j.`H' .;y rs.a._ v- ��.. c. � 3+ �:"i',. '.'>>h..� i', '.:.. :n.•.. 'nP' -.. - : -: m rr :,"F ' :.�.`..>.. ^�, wp .y 1'$. .. Si ., <'w'n �.. .y:-m` ^. 3" M'y '>;' �" •..� '.Ea. \ 2y5: <: �v, .. k: ?k.:.b6. Vv.�'t` k w.e• r �x� � 's ,.y � ,. Via. S .. • ,�'. ax.<� o... ,.. � ,{ ..4. ,... , n. � <.t. , w ... y,.. _ ♦ �' $ , . ✓: ..ri! .,'sW . S L .."v . 1,. ''. n .. n=. -..: ... ).. +... ..4. f 'L: ... ,... y.0 'i..� "t ia..:.. 'W 7�: ✓�, S '.s.. 'Y�. �.'rt., n: �$, T yy N< `�SU2 '�i... +S..P'" . .. .v :... , ...:i :. e� y.. >.. :!. ., <. � 1� ... C .'4. N .. ..r+ o-'f.. .,r C �.u.. M. r �.,. ,.. � '..fn. :.},3. #�... %z. s. .,. .he.. •>< Kv �+ �V .. ,.,:e) 3vY' F ,.:. w . < .,. , :•�" : .. < . . ,: p..9. u. 5... n.� r '� . S e3^ : : ..:..> , � s?.. - o, .. .. a,., ,�` , ...C' :.. a .. :..:. - a : .. ...- n : .: 1 n. _ : 'U "ti€ � - � ry , , .(l rF,l.. -S�eT.�a,��` A. �. , ,. f ... a. x. .: .: ib i �'+.?.. a .J`5e. -. ➢S.r ., :. .5: 4R .: :vJt.+sv„ C.• ...5: <?`.,, , _... �. V, yQ, f 4. ^•�. .�.r" .. h. `Y r 'bYrs w Y 6, 'c . a�. I( b?' + 4��"��' .i' ..e`. , ?..: z h7�S ..'� Z.. .w �w'`• .,.,•4r :. ..+,5 t. .: i t h% •� � II':< ,:.1 ��<.. � �,., k /:. '� .. � � . �i' <? M. F'.. ,,v.•Y: v �3)JdY4 . .3 ���'.le'�,P.1<Y a•S ,$`. 7'3 "k,�i a£?fyq, 4.. .'tar:,u: aWii°�r1`2 .�.. ?Xw� �� M��.�''�� �k �at :H:YZA �6. ",%�a�::.: 1<,.,iC;'� ?y;:'. ri 3? )J3n: iMi''m?�. - 5'�%`.vYr r, v d:.: ��"� .r . ...�; '.. �i•,y :, W'£ �...:., r;� T.I,Z'. ,K _.5.'f1. ?.3:, wuJ, o't. ._ ❑ ROUTINE ❑ COMBINED ❑ JOINTAGENCY Q MULTI- AGENCY ❑! COMPLAINT ❑ RE- INSPECTfON C V= omp Dance OPERATION C E R S V =Violation; 1,11 Minor Violation COMMENT APPROPRIATE PERMIT ON HAND (BM :15.65.080) 3010001 BUSINESS PLAN CONTACT INFORMATION ACCURATE (CR: 2729.1) 1010008 VISIBLE ADDRESS (CFC: 505.1, B : 15.52.020) '} CORRECT OCCUPANCY (CBC: 401) ' VERIFICATION OF INVENTORY MATERIALS (OCR: 2729.3) 1010004 yty VERIFICATION OF QUANTITIES (CCR: 2729.4 ) 1010006 $' f VERIFICATION OF LOCATION (OCR: 2729.2) y( PROPER SEGREGATION OF MATERIAL (CFC: 2704.1) r VERIFICATION OF SDS AVAILABILITY (CCR: 729.2(3)(b)) i VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) 1020002 VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CR: 2731(c)) EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) 1010010 r CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5) 3030007 HOUSEKEEPING (CFC: 304.1) FIRE PROTECTION (C C: 903 & 906) 3030032 SITE DIAGRAM ADEQUATE & ON HAND I CCR: 2729.2) 1010005 `"" " r" h ANY HAZARDOUS WASTE ON SITE? AYES ❑ NO i natureofRecei t Explain: All All 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 thi page to: Signature (that all violations have been corrected as noted) Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 933@1 Date White — Business Copy Yellow — Station Copy Pink Prevention Services FD2155 (Rev 8//14)