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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 r Tel.: (661) 326 -3979
Inspection Fax: (661) 852 -2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
V= Violation; 1,11 Minor
COMMENT
ADDRESS
PHONE NO.
NO OF EMPLOYEES
APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
FACILITY CONTACT
BUSINESS ID NUMBER
Consent to Inspect Name /Title
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, 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)
PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
VERIFICATION OF SDS AVAILABILITY (CCR: 27291(3)(b))
,r
'- 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)
30,30007
HOUSEKEEPING (CFC: 304.1)
FIRE PROTECTION (CFC: 903 & 906)
3030032
S, ITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
1010005
ANY HAZARDOUS WASTE ON SITE? 1:1 YES ❑ NO
Si nature oi Receip 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)