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HAZMAT 2017
FACILITY NAME INSPECTION DATE INSPECTION TIME V= Violation; 1,11 Minor Violation COMMENT ADDRESS PHONE NO. NO OF EMPLOYEES bAL_ APPROPRIATE PERMIT ON HAND (BMC:15.M080) FACILITY CONTACT BUSINESS ID NUMBER 0-� V onsent to Inspect Name/Title 101000$ A ,.r. 4 f a F '. _.. . ,." s t a: ?c'.. s <n .: s • ,a .. . ^tr.. ., ,•. ..� ».:...: , ... .'f37.dzs a .:s..v,. ,.. .t { . £f:; °:y . Wn,.a.. y ., ax .ca' . ^•Y ..h r.F,. :.. f b rr ,r .� n �' �.:. , ". ... >�.i � ., .. .o. .c. t.. ,h' '..;t 4 ♦ :. ...e.,..a. C.r. [> .'v , >. `� a.:,.,...w +n ,.,,.� ,. '�,..<.. ,. , ,L � .r,.. .a< ., ..`•��.•� .>,w. . , .. s ,« � -2 .,�e . r �.,� .s.>�' .•r .x z �.< "'�' ,..�`>n .. ��>. ,r: ti. ..v M ..; ,,. . ?:. ....; .C, '.r. •,....1�,. - -h >� > .. '%ro ni -',..5. ..�� l -b. ,}� ,�¢n �,, x � �fi `K z5k Vin., «s o `�,a s:u . X ,>�,.,.R . ,.a � c,.,, x�. l• rt3L�.: ,�; w;. �' < „,� g. � r �.. n i ?4�ix: x S ,. , >. .. z. .� . :, z .n.. - .. ., .• - .. � r. , a#�' "Z?,as h, W.F.. y <�,. ��' �,,'`,�; P£ro�:< F .,, v •'.v u�.c... > ... � s �' s , .r,. >x. ,. .e ..�> c.. . h „ . �. • ,. , . ,. .. ,." .... ,.... .. >:.. "�....,.. ... .> <.,. ,,t , :t.... „, .^ .. x �v:�„ .- .�..�- AYrx, >.�. <:, < ��. v,.>: EaR.r:r*..,�'�w.,,,i�•s.,',.,, .:r,�r „x. ...,...3,+4�»,r<.... aka* wr .e..,,.M.,..Fli1``A,r..o.,,c�c ��h:r,ay.,:t�. :.cae «.. >... a., zit, �». rs. i.,<,.,. rrc�: �uwuzr. s�,.., x. l:' i,> �zu�< ra,< s�' sx�M, u,. s, ks,,.:..:„, �Ar�., �...,.. a„' �. ,...,..£r"x`•:ni :..'4,�nrch.s�e «..« v. J[' ��E:+ ��i: e3G, o-rx ."��r.�`�xE��t�c.1��wW�.'''�', °ROUTINE ❑ COMBINED ❑ JOINTAGENCY ❑ MULTI- AGENCY ❑ COMPLAINT, ❑ RE- INSPECTION C V. C= Compliance OPERATION CERS V= Violation; 1,11 Minor Violation COMMENT APPROPRIATE PERMIT ON HAND (BMC:15.M080) 3010001 BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) 101000$ VISIBLE ADDRESS (CFC: 505.1, BMC :15.52.020): CORRECT OCCUPANCY (CBC: 401) r 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) Xf VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b)) VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) 1020002 VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(0)) EMERGENCY PROCEDURES ADEQUATE (CCR: 273 1) 1010010 CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5) 3030007 HOUSEKEEPING (CFC: 304.1) Q FIRE PROTECTION (CFC: 903 & 906) 3030032 SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) 1010005 ANY HAZARDOUS WASTE ON SITE? ❑ YES 19�- NO i wature ofRecei t 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, 2101 H Street, California 93301 . Date. White - Business Copy Yellow — Station Copy Pink Prevention;Services FD2155 (Rev 8 / /14) t.