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BAKERSFIELD FIRE DEPT.
Prevention Services.
10 2101 H Street
UNIFIED PROGRAM INSPECTION CHECKLIST'. P:' l` Bakersfield, CA 93301
- �...v Tel. (661) 326 -3979
SECTION 1: Hazardous Materials Business Plan r Fax: (661) 852-21 71
Inspection
i
FACILITY NAME
t✓
Seacti0 -., Business
1
INSPEC ON D
INSPECTION TIME
El COMBINED ❑ JOINT AGENCY
❑
T
PERMIT ON HAND (BMC: 15.65.080)
ADDRESS
PHONE NO. _
NO OF EMPLOYEES
CERS INFO jRMATION
i
ENTERED& UPDATED ANNUALLY (CCR: 2729.1)
3210043
FACILITY CONTACT
BUSINESS ID NUMBER `.
RESS (CFC: 505.1, BMC: 15.52.020)
Consent to Inspect Name /Title
C V G=Gomphanc �
V= Violation; 111
t✓
Seacti0 -., Business
1
P.I:an and Fnventory'Prog.raam
ROUTINE
El COMBINED ❑ JOINT AGENCY
❑
MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V G=Gomphanc �
V= Violation; 111
j OPERATION
Minor
CERS
Violation
COMMENT
APPROPRIATE
PERMIT ON HAND (BMC: 15.65.080)
3010001
CERS INFO jRMATION
i
ENTERED& UPDATED ANNUALLY (CCR: 2729.1)
3210043
VISIBLE ADR
RESS (CFC: 505.1, BMC: 15.52.020)
CORRECT OCCUPANCY
(CBC: 401 )
VERIFICATION
OF INVENTORY MATERIALS (CCR: 2729.3)
i
1010004
VERIFICATION
OF QUANTITIES (CCR: 2729.4)
1010006.
VERIFICATION
OF LOCATION (CCR: 2729.2)
PROPER SEGREGATION
OF MATERIAL (CFC: 2704:1)
VERIFICATION
OFSDS AVAILABILITY (CCR: 2729.2(3)(b)}
i
VERIFICATIO
I OF HAZ MAT TRAINING (CCR: 2732)
1020002
VERIFICATION
OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
EMERGENCY{PROCEDU'RES
ADEQUATE (CCR: 2731)
1010010
CONTAINERS
PROPERLY LABELED (CCR: 66262.34(f); CFC: 2703.5)
3030007
HOUSEKEEPING
(CFC: 304.1)
FIRE PROTECTION
(CFC: 903 & 906)
3030032
P.
SITE DIAGR I
ADEQUATE & ON HAND (CCR: 2729.)
M 2
'
1010005
14Y HAZARDOUS WASTE'
ON SITE? ❑ YES Q
iSignature ofRecei t
Explain:
Inspector: e,-::.
POST INSPECTION INS TRUCTIONS:
• Correct the violation(s) rioted 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)