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BAKERSFIELD FIRE DEPT!
Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST '2101 H Street
%
Bakersfield, CA 93301
SECTION 1 Hazardous Materials Business Plan Tel.: .(661) 326-3979
In'smetion Fax: (661) 852'2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
V=Violation; 1,11 Minor
violation
COMMENT
ADDRESS
PHONE NO.
NO OF EMPLOYEES.,
7- 1
APPROPRIATE PERMIT ON. HAND (BMC. 15.65.080)
FACILITY CONTACT
BUSINESS ID NUMBER
A
sent to Inspect Name/Title.
A
I I ("- V
C v C=Compliance OPERATION
C E R S
V=Violation; 1,11 Minor
violation
COMMENT
APPROPRIATE PERMIT ON. HAND (BMC. 15.65.080)
3010001
CERS INFORMATION ENTERED & UPDATED ANNUALLY (CCR.2729.1)
3210043
VISIBLE ADDRESS (CFC: 505.1, I5MC: 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 "8RIA"; AVAILABILITY (CCR: 2729.2(3)(b))
VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
1020002
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
Y
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
101001.0
CONTAINERS PROPERLY LABELED (CCR: 66262.34(fl, CFC.: 2703.5)
3030007
HOUSEKEEPING (CFC: 304.1)
IRE PROTECTION (CFC: 903 & 906)
3030032
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
1010005'
ANY HAZARDOUS WASTE ON. SITE? ❑ YES 'S' NO
Si nature r Recejipt
tit jA
Explain: V
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 9/2017)