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BAKERSFIELD FIRE DEPT.
Prevention Services
F n 2101 H Street
UNIFIED PROGRAM INSPECTION CHECKLIST FIRM Bakersfield, CA 93301
R T Af f Tel.: (661) 326 -3979
SECTION 1 Hazardous Materials Business Plan Fax: (661) 852 -2171
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FACILITY NAME
C E R S
INSPECTION DATE
INSPECTION TIME
Violation
COMMENT
#
ADDRESS
PHONE NO.
NO OF EMPLOYEES
4.1 i ".i:,X:�i1eA �Yt.��",+
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6- 6/- 6 ,.r.,3c ^V,.6
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FACILITY CONTACT
1010008
BUSINESS ID NUMBER
VISIBLE ADDRESS (CFO: 505.1, BMC:15.52.020)
Consent to Inspect Napne/Title
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(ROUTINE ❑COMBINED ❑JOINT AGENCY ❑MULTI - AGENCY ❑COMPLAINT ❑ RE- INSPECTION
omp lance .
C V OPERATION
C E R S
V =Violation I,II Minor
Violation
COMMENT
#
APPROPRIATE PERMIT ON HAND (BMC:15.65.080)
3010001
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
1010008
VISIBLE ADDRESS (CFO: 505.1, BMC: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)
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))
"A
EMERGENCY PROCEDURES ADEQUATE' (CCR: 2731)
. 1010010
'
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5)
3030007
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HOUSEKEEPING (CFC: 304.1)
FIRE PROTECTION (CFC: 903 & 906)
t.e�� l
3030032
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SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
1010005
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ANY HAZARDOUS WASTE ON SITE? YES ❑ NO Signature ofReceii t�.
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Explain: OIL,, t:+ f (..,. (= ;C ."
e
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)