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BAKERSFIELD FIRE DEPT.
Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST 2101 H Street
F
Bakersfield, CA 93301
SECTION 1: Hazardous Materials Business Plan Tel.: (661) 326 -3979.
Inspection'._. i Fax: (661) 852 -.2171
FACILITY
INSPECTPNDATYE
INSPECTION'TIME
NAME ,wv }jwg g
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Violation
COMMENT
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ADDRESS
PHONE NO.
NO OF EMPLOYEES
2- VIk
FACILITY CONTACT
BUSINESS ID NUMBER
onsent to Inspect Name /Title
. 1r Sri
Section Bus1ness,'Plan and Inventory Progra 1
i. i 3 1
F
❑ +ROUT!N-E-� ; R> COMBINED ❑ JOINT AGENCY ❑ MULTI-AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V C=Compliance OPERATION
C E RS
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
�a
VISIBLE ADDRESS (CFC: 505.1, BMC.15.52.020)
1
CORRECT OCCUPANCY (CBC: 401)
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
1010004
VERIFICATION OF QUANTITIES (CCR: 2729.4)
1010006
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VERIFICATION OF LOCATION M '' (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(1], CFC: 2703.5)
3030007
HOUSEKEEPING (CFC: 304.1)
FIRE PROTECTION (GFC 903 & 906)
3030032
^'
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
1010005
ANY HAZARDOUS,WASTE ON SITE? C�YES ❑ NO
ISignature ofRecei t
Explain:
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)