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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 ... Tel.: (661) 326 -3979
Inspection
Fax: (661) 852 -2171
FACILITY NAME INSPECTION DATE INSPECTION TIME
A l 0. f 1r" ,— /
ADDRESS ,;,r
PHONE NO. NO OF EMPLOYEES
BUSINESS ID NUMBER
FACILITY CONTACT
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Consent toAnspect Na e /Title
sectron
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ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY El COMPLAINT 171 RE- INSPECTION
C V C= Compliance OPERATION
G E RS
COMMENT
V= Violation; 1,11 Minor
Violation
. 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 (CBQ, 401)
VERIFICATION OF INVENTORY MATERIALS (CCR:�2729.3)
1010004
1010006
VERIFICATION OF QUANTITIES (CCR` 2729.4)
r
VERIFICATION OF LOCATION a° (CCR: 2729.2)
�'f
PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
5
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(17, CFC: 2703.5)
3030007
HOUSEKEEPING (CFC: 304.1)
SIRE PROTECTION (CFC: 903 & 906)
3030032
.�' SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
1010005
NY HAZARDOUS WASTE ON SITE? YES ❑ NO
Si nature ofRecei t?"'N
Explain: ' r-�-
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Inspector•
POST INSPECTION INSTRUCTIONS: a*
• Correct the violation(s) noted above by
Signature (that all violations have been corrected as noted)
Within 5 days of correcting all of the violations, sign and return a copy of this page to:
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
Date
White — 'Business Copy Yellow — Station Copy Pink - Prevention Services
FD2155 Rev 9/2017
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