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BAKERSFIELD FIRE DEPT.
Prevention Services
H` E R 9 F t Ia 2101 H Street
UNIFIED PROGRAM INSPECTION CHECKLIST Pi Bakersfield,CA93301
r fA? Te l.: (661) 326 -3979
SECTION 1: Hazardous Materials Business Plan Fax: (661) 852 -2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
ADDRESS r
PHpNE NO NO OF EMPLOYEES
IS
�. Fwd
l J
BUSINESS ID NUMBER
FACILITY CONTACT
;
3010001
onsent to Inspect Name/Title
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"ROUTINE ❑COMBINED ❑JOINT AGENCY ❑MULTI - AGENCY ” ❑ COMPLAINT ❑ RE- INSPECTION
C. V= omp fiance O P E R AT1 O N
C E R S
V =Violation; I,u minor
Violation
COMMENT
APPROPRIATE PERMIT ON HAND (BMC:15.65.080)
3010001
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
1010008
g
i
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
CORRECT OCCUPANCY (CBC: 401)
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
1010004
f
Y
VERIFICATION OF QUANTITIES (CCR: 2729.4)
1010006
VERIFICATION OF LOCATION (CCR: 2729.2)
1
PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b))
VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
1020002
r
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)
FIRE PROTECTION `^ (CFC: 903 & 906)
3030032
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
1010005
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO
i natureofRecei t
Explain:
•V}
Inspector : &I 40P /
POST INSPECTION INSTR CTIONS
• 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 a%xiolations have been corrreged as noted)
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301 -
Date 7 ."
White - Business Copy Yellow — Station Copy Pink — Prevention Services FD2155 (Rev 8//14)