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BAKERSFIELD FIRE DEPT.
Prevention Services
11 E R s f .1 _1 2101 H Street
UNIFIED PROGRAM INSPECTION CHECKLISTr� B akersfield, CA. 93301
R T`N! T Tel.: (661) 326 - 3979
SECTION 1: Hazardous Materials Business Plan Fax: (661) 852 -2171
Incnpr_tinn
FACILITY NAME
CERS
INSPECTION DATE
INSPECTION TIME
COMMENT
ADDRESS
APPROPRIATE PERMIT ON HAND (BMC:15.65.080)
3010001
PHONE NO.
NO OF EMPLOYEES
y
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
1010008q�,t•;,
FACILITY CONTACT
BUSINESS ID NUMBER
t
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
Consent to Inspect Name/Title
A
Sr.r i^'Pf�
� � X '; ��
3
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t
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ROUTINE ❑ COMBINED ❑ JOINTAGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C v = omplance OPERATION
CERS
V =Violation; 1,11 Minor
Violation
COMMENT
APPROPRIATE PERMIT ON HAND (BMC:15.65.080)
3010001
y
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
1010008q�,t•;,
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
CORRECT OCCUPANCY (CBC: 401)
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
1010004
A
VERIFICATION OF QUANTITIES (CCR: 2729.4)
1010006
VERIFICATION OF LOCATION (CCR: 2729.2)
"%.
PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b))
VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
1020002
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)
k
: FIRE PROTECTION (CFC: 903 & 906)
3030032
'
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
1010005
ANY HAZARDOUS *ASTE ON SITE? DYES ❑ NO
Oijanature of Receipt
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: Sigr. °�Y ° *'' °* °" °� ^' ° *� ^ ^� " °•°'� ° °^ ^ ^^' ° ^ * °'' °� ^ ^ * °�' I
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
Date
White — Business Copy Yellow — Station Copy Pink — Prevention Services
FD2155 (Rev 8//14)