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BAKERSFIELD FIRE DEPT.
Prevention Services
a 0 a t 2101 H Street
UNIFIED PROGRAM INSPECTION CHECKLIST FtR, ' Bakersfield, CA 93301
1
Tel.: (661) 326 -3979
SECTION 1: Hazardous Materials Business Plan Fax: (661) 852 -2171
Ins ion
FACILITY NAME
INSPEC ION DATE
1 1
INSPECTION TIME
�-
7
APPROPRIATE PERMIT ON HAND (BMC:15.65.080)
ADDRESS
PHONE NO.
NO OF EMPLOYEES
(
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
1010008
FACILITY CONTACT
BUSINESS ID NUMBER
Consent to Inspect Name/Title w
❑ ROUTINE ❑ COMBINED
^',� oi`
Q,nkt�1�Busilness�Plan�and InueAnfio ��
URI
❑ JOINTAGENCY� � ❑MULTI - AGENCY � ❑ COMPLAINT ❑ RE- INSPECTION �.
C V C=Gompliance OPERATION
V =Violation; 1,11 Minor
CERS
Violation
COMMENT
APPROPRIATE PERMIT ON HAND (BMC:15.65.080)
3010001
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
1010008
VISIBLE ADDRESS (CFO: 505.1, BMC:15.52.020)'
CORRECT OCCUPANCY (CBC: 401)
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
1010004
iN
VERIFICATION OF QUANTITIES (OCR: 2729.4)
1010006
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 PROCEDURES 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
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
1010005
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO
Signature ofReceipt
Explain:
' D t Pr vention Services 2101 H Street California 93301
Date
White — Business Copy Yellow — Station Copy Pink — Prevention Services
Inspector: K
POST INSPECTION INSTRUCTIONS:
• Correct the violation(s) noted 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)
Bak C— 1A Fue
FD2155 (Rev 8//14)