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BAKERSFIELD FIRE DEPT.,
Prevention Services
2101 H Street
UNIFIED PROGRAM INSPECTION CHECKLISTT}t '' Bakersfield, CA 93301
Tel.: (661) 326 -3979
SECTION 1: Hazardous Materials Business Plan 0 Fax: (661) 852 -2171
Ins tion
FACILITY NAME
OPERATION
Minor
INSPECTION DATE
INSPECTION TIME
❑ COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
APPROPRIATE
PERMIT ON HAND .- - (BMC: 15.65.080)
ADDRESS
PHONE NO.
NO OF EMPLOYEES
CERS INFO, F
MATION ENTERED & UPDATED ANNUALLY (CCR: 2729.1)
3210043
FACILITY CONTACT
BUSINESS ID NUMBER
Consent to Inspect Name/Title
C V= omp iancel
V= Violation; 1,1
OPERATION
Minor
ecton 1' 8.usrness1 ,.fan and invenro�ry Progrsm
- '"ROUTINE
❑ COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V= omp iancel
V= Violation; 1,1
OPERATION
Minor
C E R S
Violation
COMMENT
0
APPROPRIATE
PERMIT ON HAND .- - (BMC: 15.65.080)
3010001
CERS INFO, F
MATION ENTERED & UPDATED ANNUALLY (CCR: 2729.1)
3210043
VISIBLE ADDRESS
I
(CFC: 505.1, BMC: 15.52.020)
CORRECT O�CUPANCY
(CBC: 401)
VERIFICATIOf
OF INVENTORY MATERIALS (CCR: 2729.3)
i
1010004
VERIFICATION'
OF QUANTITIES (CCR: 2729.4)
1010006
VERIFICATION
OF LOCATION . (CCR: 2729.2)
PROPER SEG
EGATION OF MATERIAL (CFC: 2704.1)
VERIFICATION
OF SDS AVAILABILITY (CCR: 2729.2(3)(b))
11
VERIFICATION
OF HAZ MAT TRAINING (CCR: 2732)
1020002
VERIFICATION
OF'ABATEMENT SUPPLIES &PROCEDURES (CCR: 2731(c))
F
EMERGENCY
PROCEDURES ADEQUATE (CCR: 2731)
1010010
r
CONTAINERS
PROPERLY LABELED (CCR: 66262.34(f , CFC: 2703.5)
3030007
HOUSEKEEPING
(CFC x304.1)
FIRE PROTECTION
(CFC: 903 & 906)
3030032
SITE DIAGRA
I ADEQUATE & ON HAND (CCR: 2729.2)
1010005
ANY HAZARDOUS WA ITE'
ON SITE? - -Cl YES ❑ NO
ft nature t
Explain:
Inspector•_ f:
POST INSPECTION INSTRUCTIONS:
• Correct the violation(s) noted above by
• Within 5 days of correc i g 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 — Busuiess Copy Yellow — Station Copy Pink — Prevention Services FD2155 (Rev 9/2017)