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HAZMAT 6/1/2017
'2 T'�:'' fµ'Y���$$ fi_ cRrY ; j�s F .',: �f, ,i °... .. 1; 4�±A.R: .S6�N.... _ • ` < Y. BAKERSFIELD FIRE DEPT. PA Prevention Services 19 AM R s F >i p 2101 H Street UNIFIED PRO=GRAM INSPECTION CHECKLIST ►A►,�'' Bakersfield, CA'93301 ,��r� r Tel.: (661) 326 -3979 S E CTI O N 1: Hazardous Materials Business Pla Fax: (661) 852 -2171 x `Inenartinn If 1% FACILITY NAME -'-" > :. ::, ..ten � ..v .: s^ a , ..75•t ,� vi* fi. .. v,tYr �. ✓. 1. ,. �. .. S .. N �.. �,.. >. , ,.<. 'R 1. .,�.! � x,A 2 ..,v .. X23'.. >.. �.... :xax^.; > ,..,..,' nµ,:. ,.�.,: ,: ::.a '.ynu '&. _..R ,mow x,� r."�l'+w. �.�w,rs.vx•. .. ., „ 3<sT .. x. ...,....., �` k < . u; : :�.. N. w.�€. .. uw.. . a.,. �, T.-a , 'r.% .,•r�i ..Z _, ,. .... ,ro . +. `i. .. �� .. 9.,- .c i .! } � ..3 f 'T �.. re n' ...zk. .� .. .. A a.. .r. 5... .., �, :., ,,, o-: ... c. � >. w. � -. ,... ., , .,� S N. x wx. :, ... ..r, € .✓�s> �*,w . ,. C`"� � .. lL ...:... M... qa . � � A...h�S. a. � �.. ..r... ,sn . S:$`Y`v .... f ,r`. H 4•. INSP TI DATE INSPECTION TIME ADDRESS % M yp il:.;� Alw :<, a„ 3a.""%;:: ��, �`, �' ����.... ���S�Sf' fV:,`' L.{' �ta.< r; Cf�R, S., �x o>. ^3,�i;.�.,W��;.�3.. :.'d.�'av,,t i4�.�n., z�s*s4 '�i; .�Yia'.€.Va.."nt �.,..,.. PHONE NO. _ NO OF EMPLOYEES C"? FACILITY CONTACT "� b 0 fl MULTI- AGENCY ❑COMPLAINT ❑ RE- INSPECTION BUSINESS ID NUMBER onsent to Inspect Name/Title To ACCURATE (CCR: 2729.1) :.. ,. , .., ... -,.. . . . „ � , _., ,xc .. . . -,,ar . , w. ,.. ,.a .S. ,... a.. "T,3 .�: r. .�� a..�.}�y� `gym ,.x o.,... E. ..r as -. ., , .,, 4..+ ,. �il�,,. . ,...'.. »<h .r §. :v .. n , .,G•;... �"�.` 1, , z. ... 4 ./ S. 1... <. i.v< � "Y<^'$ , .��.. ,.t. 3, ,.�.� A, -, l .r «, ��� > :. ::, ..ten � ..v .: s^ a , ..75•t ,� vi* fi. .. v,tYr �. ✓. 1. ,. �. .. S .. N �.. �,.. >. , ,.<. 'R 1. .,�.! � x,A 2 ..,v .. X23'.. >.. �.... :xax^.; > ,..,..,' nµ,:. ,.�.,: ,: ::.a '.ynu '&. _..R ,mow x,� r."�l'+w. �.�w,rs.vx•. .. ., „ 3<sT .. x. ...,....., �` k < . u; : :�.. N. w.�€. .. uw.. . a.,. �, T.-a , 'r.% .,•r�i ..Z _, ,. .... ,ro . +. `i. .. �� .. 9.,- .c i .! } � ..3 f 'T �.. re n' ...zk. .� .. .. A a.. .r. 5... .., �, :., ,,, o-: ... c. � >. w. � -. ,... ., , .,� S N. x wx. :, ... ..r, € .✓�s> �*,w . ,. C`"� � .. lL ...:... M... qa . � � A...h�S. a. � �.. ..r... ,sn . S:$`Y`v .... f ,r`. H 4•. �, COMMENT :<, a„ 3a.""%;:: ��, �`, �' ����.... ���S�Sf' fV:,`' L.{' �ta.< r; Cf�R, S., �x o>. ^3,�i;.�.,W��;.�3.. :.'d.�'av,,t i4�.�n., z�s*s4 '�i; .�Yia'.€.Va.."nt �.,..,.. ✓a"' ,nP�'g•'�',�`�s. <.v.,D''.. .�`S, ❑ ROUTINE ❑COMBINED ❑JOINT AGENCY MULTI- AGENCY ❑COMPLAINT ❑ RE- INSPECTION C V C=Gompliance OPERATION V= Violation; 1,11 Minor CERS Violation COMMENT APPROPRIATE PERMIT ON HAND (B C: 15.65.080) 3010001 BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) 1010008 1 VISIBLE ADDRESS (CFC: 505.1, B C: 15.52.020) 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) W PROPER SEGREGATION OF MATERIAL CFC: 2704.1) 'VERIFICATION OF SDS AVAILABILITY (CCR: 729.2(3)(b)) VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) 1020002 VERIFICATION OF ABATEMENT SUPPLIES &PROCEDURES (OCR: 2731(c)) EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) 1010010 CONTAINERS PROPERLY LABELED (CCR: 66262.34(1), 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 GrNO, iSionature ofRecei t Explain: Inspector: .rz t vi e e , V>0 POST INSPECTIONZNSTRUCTIONS: • . 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: Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301 White — Business Copy Yellow Station Copy Pink-. Prevention Services 4MRf�` Signature (that allwtolations have been corrected as noted) Date FD2155 (Rev 8//14)