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BAKERSFIELD FIRE DEPT,
Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST .`. 2101 H Street -
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Bakersfield CA 93301
SECT
ION 1 Hazardous Materials Business Plan Tel.: (661),326 3979
Inspection Fax: (661) 852 -2171
FACILITY NAME INS ECT ON DATE INSPECTION TIME
ADDRESS PHONE NO. NO OF EMPLOYEES
FACILITY CONTACT BUSINESS ID NUMBER H
onsent to inspect Na e/ e�
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❑ ROUTINE 2r COMBINED ❑ JOINT.AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V= Comp►iance OPERATION C E RS
V =Violation; 1,11 Minor Violation COMMENT
APPROPRIATE PERMIT ON HAND (BMC: 15.65:0$0) 301.0001
CERS INFORMATION ENTERED & UPDATED ANNUALLY (CCR: 2729.1) 3210043
VISIBLE ADDRESS (CFC: 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
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ANY HAZARDOUS WASTE ON SITE. N
E,xp'lain:
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)
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))
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
1010010
CONTAINERS PROPERLY LABELED (CCR: 66262:34(17; CFC: 2703.5)
3030007
$�
HOUSEKEEPING (CFC:3.04.:1)
FIRE PROTECTION (CFC: 903 & 906)
3030032
gyp.
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729:2)
1010005
,P
❑YES r. O
Si nature of
Rece' r
r '
ANY HAZARDOUS WASTE ON SITE. N
E,xp'lain:
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)