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BAKERSFIELD FIRE DEPT.
Prevention Services
B E R s f t D 2101 H Street
UNIFIED PROGRAM INSPECTION CHECKLIST FIRM Bakersfield, CA 93301
Tel.: (661) 326-3979
SECTION 1' : ; :Hazardous Materials Business Plan
Fax: (661) 852 -2171
In ion
FACILITY NAME INSPECTION DATE INSPECTION TIME
PHONE NO. NO OF EMPLOYEES .
ADDRESS
FACILITY CONTACT BUSINESS ID NUMBER
Consent to Inspect Namefritle
C V
C=Co mpuance OPERATION
CERS
COMMENT
V =Violation; 1,11 Minor
Violation
3010001
APPROPRIATE PERMIT ON HAND (BMC:15.65.080)
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
1010008
VISIBLE ADDRESS
CORRECT OCCUPANCY
(CFC: 505.1, BMC:15.52.020)
(CBC: 401)
VERIFICATION OF INVENTORY MATERIALS
VERIFICATION OF QUANTITIES
(CCR: 2729.3)
(CCR: 2729.4)
1010004
1010006
P'
VERIFICATION OF LOCATION
(CCR: 2729.2)
PROPER SEGREGATION OF MATERIAL
VERIFICATION OF SDS AVAILABILITY
(CFC: 2704.1)
(CCR: 2729.2(3)(b)}
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
1020002
n
VERIFICATION OF ABATEMENT SUPPLIES &
PROCEDURES (CCR: 2731(c))
a
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
1010010
3
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 of Recei t
Explain:
Inspector: °° "` r
POST INSPECTION INST UCTIONS: �f� `` / "
• 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 hav correcte
e ten d as noted)
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
Date
White - Business Copy Yellow— Station Copy; Pink — Prevention Services FD2155 (Rev. ;$1/14)