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BAKERSFIELD FIRE DEPT.
Prevention Services
f, B R R S
2101 H Street
UNIFIED PROGRAM INSPECTION CHECKLIST �fR� Bakersfield, CA 93301
Tel.: (661),526-3979
SECTION 1: Hazardous Materials Business Plan
Fax: (661) 852 -2171
Inspection
",rr.•.. INSPECTION DATE INSPECTION TIME
FACILITY NAME
PHONE NO. NO OF EMPLOYEES
ADDRESS
BUSINESS ID NUMBER
FACILITY CONTACT A ,
Consent to Inspect Name/Title
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 NO Signature ofRecei t
5
Explain:
Ins, ,. t
POST INSPECTION INSTIaUCTIONSi`'p
" • r Correct the violations) noted above,by
" • : Y Within days of c9rrect. * ". ll(of`tne violations, sign and return a copy of this page to: Signature (that all
Bakersfield Fire Dept., Prevention Services, 2101 H Street, Californ ia 93301
Date
White - Business Copy Yellow - Station Copy Pink — Prevention Services
n
4'.," tz'�Ll
lations have been" corrected as noted) ,
s ;t
FD2155 (Rev 8//14)
C V - omp�ance OPERATION
V= Violation; 1,11 Minor --
CERS
Violation
COMMENT
3010001
APPROPRIATE PERMIT ON HAND (BMC:15.65.080)
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
1010008
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
CORRECT OCCUPANCY (CBC: 401)
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
1010004
1010006
VERIFICATION OF QUANTITIES (CCR: 2729.4)
}/
VERIFICATION OF LOCATION (CCR: 2729.2)
PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
F
-
t` VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b))
1020002
VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
1010010
l EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), 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 NO Signature ofRecei t
5
Explain:
Ins, ,. t
POST INSPECTION INSTIaUCTIONSi`'p
" • r Correct the violations) noted above,by
" • : Y Within days of c9rrect. * ". ll(of`tne violations, sign and return a copy of this page to: Signature (that all
Bakersfield Fire Dept., Prevention Services, 2101 H Street, Californ ia 93301
Date
White - Business Copy Yellow - Station Copy Pink — Prevention Services
n
4'.," tz'�Ll
lations have been" corrected as noted) ,
s ;t
FD2155 (Rev 8//14)