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HAZMAT INSP 6/1/2017
T y._yFThN Syw.-Nk '"kY �. �'�",.1:•. �. , r, ti ?so^ MKS , UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Hazardous Materials Business Plan Ins ion BAKERSFIELD FIRE DEPT. Prevention Services FE R s F I r. 0 2101 H Street !�"ifts. Bakersfield, CA 93301 ARTH Tel.: (661) 326 -3979 Fax: (661) 852 -2171 INSPECTION DATE INSPECTION TIME ' FACILITY NAME a� r•" ,, , .,�,�� .._, .+. a ..'"F r. W..s.. . .._x. ,�k. �1. �`` ', _,.h . �3x x*`4 Ott: ,. .. ,6��,. .'M ,,, .. .. Y.. .. ) 1 ... a, �u` .. ax , xy J .a4 ., .,.. �_ r.` t•tY",. ...ter. ,. fi'£,. z, . , ; :.r� AI .r,. 5ectton 1.> s.$r x.:. .'n.. 1<u... .. #.1. r•.t "�.-+. .a4 T ,rs „ "A"I A: A . �4 �.: L �<`_ �6 ?,< , F.:. .: 6xk,�. o:� £: „£ .i .. 2 a . e .; .., i : , x .<, s„•st 4' ,.... ;n.:w .XS ' W Pro, Irani s, r n and Invento � -� � �. 2n ,, � � �.. ,. � . .: r . .tt.�. x, L li:r k:.1+.F�'},�,: \ G .,:•1... Ali la ",. � 0?�33�`'.a+r*r,'.. f"v.*:x 3: �?�.:.�3��„s�.;l�., �?''*. b '4., �" o, 2v Kee Y. Y.3�,•.`i e�vt~..,... -.. ,.s .,. . t,._5- �,-..; .. ...:.xi : 2. t$ .rx'F�,` s. .%b. .. �"',..,�s2`.+z. 4'?3`•."r.s`��Fn .r .,v�'`5 .w. }S .., ,.. �, \ . fr � � , .�_ ...>„� .e � ��� �?� �' is ?%+ S {. k�,.,ro• `i'}n,@ s�'4,'xr. ., ,... , ,) . �M ... 'w'!- MOWN +.,..x•..... es �.:�aJ •N. C,,»:.+Y..s', #EJ ' ROUTINE ❑ COMBINED ❑ J61NTAGENCY ADDRESS 011414� MULTI AGENCY ❑ COMPLAINT ❑ RE- INSPECTION PHONE NO. c NO OF EMPLOYEES FACILITY CONTACT USINESS ID NUMBER Consent to Inspect Namefritle APPROPRIATE PERMIT ON HAND (B C: 15.65.080) 3010001 .. .... .. , .. ..: ..,+ '11100111 a r +. 1 ,. sS 'x... .. S+,m, x .. sCS.. , r,• . '� . ,.3. t .u'SI.$, . '�T .. �..- J al.,s• :.c 2 .,f. . . �' . ... ....f :c' s. n¢ � 4k w> �.,a � .. ..r£; .. .. , � :. +Y»' --v..t ..... L z, .. Yc .. ... . S. - F n. .$7 M1, .2'W :.i€', .... ,. ..�.: L ,• : . z. �v .xyy .� , ....'.n.. :t ... 4\.. ,,, ...3..v�. .a �C ...4:....L. .. i.. r. . .1. .9 ., ,. <.:.,, h��j... � r ,.� Y 2 .. i \ , .,..,.lF „ '.: , '. ,?.s :...,. _.i w ,. .. .Ka: �3�V''?'E, .. �. l: •:h d s.., K .,... : r , 5 N .^t .:.c., „ �, ., iA2va r� S .. r T.+.. Y. ...•.. v'.8 '^i.. ..,u- w ,....: 3.. 4 `�. x ,.. �.,�. ., :L .,. ', .:, .rte... � -' f�',r'n... ,: .i. n�"Sl . Y.J,}•.., :../ ,rz:' l�zS'\' v/ ,Y. ?J }. 's. �.',5 h:< d '� 5 M'x.,`•.a!, :"� .:...4i. L„ t :r ..r.. a .✓I. v. ... .. .'fi 4a ...3✓� , S .., :::. .f• Y'r}. '�Y *r � F �1.�<� .+. a ..'"F r. W..s.. . .._x. ,�k. �1. �`` ', _,.h . �3x x*`4 Ott: ,. .. ,6��,. .'M ,,, .. .. Y.. .. ) 1 ... a, �u` .. ax , xy J .a4 ., .,.. �_ r.` t•tY",. ...ter. ,. fi'£,. z, . , ; :.r� AI .r,. 5ectton 1.> x., ., •n..,,.. , ..e. ,,, .. .f "S � A. ., .. ? @ .... >< Bus e ss Pl s.$r x.:. .'n.. 1<u... .. #.1. r•.t "�.-+. .a4 T ,rs „ "A"I A: A . �4 �.: L �<`_ �6 ?,< , F.:. .: 6xk,�. o:� £: „£ .i .. 2 a . e .; .., i : , x .<, s„•st 4' ,.... ;n.:w .XS ' W Pro, Irani s, r n and Invento � -� � �. 2n ,, � � �.. ,. � . .: r . .tt.�. x, L li:r k:.1+.F�'},�,: \ G .,:•1... Ali la ",. � 0?�33�`'.a+r*r,'.. f"v.*:x 3: �?�.:.�3��„s�.;l�., �?''*. b '4., �" o, 2v Kee Y. Y.3�,•.`i e�vt~..,... -.. ,.s .,. . t,._5- �,-..; .. ...:.xi : 2. t$ .rx'F�,` s. .%b. .. �"',..,�s2`.+z. 4'?3`•."r.s`��Fn .r .,v�'`5 .w. }S .., ,.. �, \ . fr � � , .�_ ...>„� .e � ��� �?� �' is ?%+ S {. k�,.,ro• `i'}n,@ s�'4,'xr. ., ,... , ,) . �M ... 'w'!- MOWN +.,..x•..... es �.:�aJ •N. C,,»:.+Y..s', #EJ ' ROUTINE ❑ COMBINED ❑ J61NTAGENCY MULTI AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C V = ompiance OPERATION CERS V= Violation; 1,11 Minor Violation COMMENT APPROPRIATE PERMIT ON HAND (B C: 15.65.080) 3010001 BUSINESS PLAN CONTACT INFORMATION ACCURATE (CR 2729.1) 1010008 Y' VISIBLE ADDRESS (CFC: 505.1, B C: 15.52.020) i x r CORRECT OCCUPANCY (CBC :- 401) VERIFICATION OF INVENTORY MATERIALS CCR: 2729.3) 1010004 VERIFICATION OF QUANTITIES CCR: 2729.4) 1010006 1J` VERIFICATION OF LOCATION CCR: 2729.2) r' PROPER SEGREGATION OF MATERIAL CFC: 2704.1) VERIFICATION OF SDS AVAILABILITY (CCR: 729.2(3)(b)) * VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) 1020002 mss.: A 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) 4 FIRE PROTECTION (C C: 903 & 906) 3030032 SITE DIAGRAM ADEQUATE & ON HAND CCR: 2729.2) 1010005 q ANY HAZARDOUS WASTE ON SITE? Q YES ❑ NO i` atureofRecei t, Explain: V Inspector:,,.. p. k.. POST INSPECTION INSTRUCTIONS ' `` : •' Correct the violations) 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 93301 Date White — Business Copy. Yellow - Station Copy Pink Prevention Services FD2155 (Rev 8H14) .