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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 i Tel.: (661) 326 -39.79
(
Fax: 661 .
Inspection' ) 852 -2171 11 q ) 2- c v.
FACILITY NAME
C E RS
Violation
IN$$S��PECTION DATE
INSPECTION TIME
ADDRESS
3010001
PHONE NO.. -'NO
OF EMPLOYEES
CERS.INFORMATION ENTERED He UPDATED ANNUALLY (CCR: 2729.1)
3210043
FACILITY CONTACT
BUSINESS ID NUMBER¢
Consent to Inspect Name /Title .
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Section 1. B.ustne °ss Plan and =Inventor .,Rio rarn
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❑ ROUTINE a COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V C =Compliance OPERATION
V= Violation; 1,11 Minor
C E RS
Violation
COMMENT
APPROPRIATE PER ON HAND (BMC: 15.65.080)
3010001
CERS.INFORMATION ENTERED He 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)
1k,
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 (CFC: 903 & 906)
3030032
SITE DIAGRAM. ADEQUATE & ON HAND (CCR: 2729.2)
1010005
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ANY HAZARDOUS WASTE ON SITE? H YES ❑ NO
Signature of Receipt
Explain`
t.
Inspector: , . c3 a Y it
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
FD2155 (Rev.9 /2017)
White— Business Copy Yellow - Station Copy Pink — Prevention Services
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