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BAKERSFIELD FIRE DEPT.
K Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST, 2101HStreet
t. Bakersfield, CA 93301
SECTION 1. Hazardous Materials Business Plan Tel.: (661) 326=3979
sbection 3 Fax: (661) 852= 2171
FACILITY NAME INSPECTION DATE INSPECTION.TIME
ADDRESS PHONE NO. NO OF EMPLOYEES `
FACILITY CONTACT BUSINESS ID NUMBER
i
onsent to Inspectt Name/T`tle
r
F Section 'I Buslness:,Plan :and Illve,nta -Pro ram }
OPERATION ,
II'Minor
..
` ROUTINE;
0 COMBINED ❑ JOINT AGENCY ❑ MULTI-AGENCY'. ❑ . COMPLAINT. ❑ RE- INSPECTION
C V �= Compliance
V =Violation; I,L
OPERATION ,
II'Minor
C E R S
Violation
#
COMMENT,
x
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)
- 1'010006 ;
VERIFICATION
OF LOCATION (CCR: 2729.2)
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
E
CCR:
PROCEDURES ADEQUATE 2731)
I (
1010010.
CONTAINERS
PROPERLY LABELED (CCR: 66262:34(17, CFC: 2703.5)
3030007
1
HOUSEKEE
ING (CFC: 304.1.)
FIRE PROTECTION
(CFC: 9.03.& 906)
3030032
SITE DIAGRI
M ADEQUATE& ON HAND (CCR: 2729.2)
101000b
ANY HAZARDOUS WASTE
ON 'SITE? ® YES NO
Si atureofRecei t
Explain:
1
•
Inspector-
POST INSPECTION INST
• Correct the violations)
• Within 5 days of correcting
Bakersfield Fire Dept.,'
1
I�I� _
UCTIONS:
noted above by
all of the violations, sign >.and.return a copy: of this page to: Signature (that all violations have been corrected as noted)
Prevention Services, 2101 H Street, California 93301
Date
White — Business;
Copy Yellow — Station Copy Pink - Prevention Services FD2155 (Rev 9/2017)