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BAKERSFIELD FIRE DEP'T'.
Ai
Prevention Services
2101 H`Street
UNIFIED PROGRAM INSPECTION CHECKLIST j �'' Bakersfield, CA 93301
Tel.: (661) 326 -3979
SECTION 1: Hazardous Materials Business Plan Fax: (661) 852 -2171
Inspection
FACILITY NAME
A Q-1 . 'k'-^ 8 �'
INSPECTION DATE
INSPECTION TIME
ADDRESS
PHONE NO.
NO OF EMPLOYEES
FACILITY CONTACT
BUSINESS ID NUMBER
Consent to Inspect Name/Title
n ,
S`ect�,on 1 Bu's>Iness Plana ,,dnd Inuen or Pro cram
AT
❑ ' ROUTINE ❑ COMBINED. ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C v G=Gompliance OPERATION
CERS
v- Violation; 1,11 Minor
Violation
COMMENT
4
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)
MERIFICATION 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
CONTAIN E RSPROPER LY LABELED (CCR: 66262.34(f), CFC: 2703.5)
3030007
HOUSEKEEPING (CFC: 304.1)
FIRE PROTECTION (CFC: 903 & 906)
3030032
SITE DIAGRAM
M ADEQUATE & ON HAND (CCR: 2729.2
1010005
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO
Signature ofRecei t
Explain:
Inspector:
POST INSPECTION INSTRUCTIONS:
Correct the violation(s) rioted above by
a 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)