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BAKERSFIELD FIRE DEPT.
A5114; K Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST 2101 H Street
f.: Bakersfield, CA 93301
SECTION 1: Hazardous Materials Business Plan Tel.: (661) 326 -3979
Fax: (661),852-2171
Inspection e ` _'
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
ADDRESS
PHONE NO.
NO OF EMPLOYEES
FACILITY CONTACT 'BUSINESSd.IID
NUMBER
CERS.INFORMATION ENTERED & UPDATED ANNUALLY (CCR: 2729.1)
Consent to. Inspect Name /Title
a y .3 3 t '� 3 �1
Section 1 Business Plan and Inventory Program
.,�❑ ROUTINE � COMBINED _. _. <..,. . ... � .. .. �. .. .<� ....
❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C= Compliance
C V OPERATION
V= Violation; I,II Minor
CERS
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, BMC: 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)
�4
PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
VERIFICATION :OF SDS AVAILABILITY (CCR: 2729.2(3)(b))
VERIFICATION OFHAZ MAT.TRAINING (CCR: 2732)
1020002
`* 4.
VERIFICATION OF ABATEMENT SUPPLIES '& PROCEDURES (CCR: 2731(c))
EMERGENCY ROCEDURES ADEQUATE . (CCR: 2731)
101001`0
�-
CONTAINERS PROFfNLY 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? —O. -YES ❑ NO
Sieniture 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
FD2T55 (Rev 91,2017)
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