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BAKERSFIELD FIRE DEPT.
Prevention Services
R s F 2101 H Street .
UNIFIED PROGRAM INSPECTION :,CHECKLIST �'�" Bakersfield, CA 93301
f. Tel.: (661) 326 -3979
SECTION N 1: Hazardous Materials Business Plan Fax: (661) 852 -z l� i
Inspection
FACILITY NAME r• INSPECTION DATE INSPECTIO�No TIME
PHONE NO. NO OF EMPLOYEES
ADDRESS
N'a �? ^" .o�"'K':,.r'� ��? ��' �u '.:R{dy . yppy4*',;,. �✓,• � k{ � A4 �'^•"J
( FACILITY CONTACT r;'' BUSINESS ID NUMBER
onsent to Inspect Name/Title 4
[2- ROUTINE ❑ COMBINED ❑ JOINTAGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C v= omp iance O P E RATION
C E R S
COMMENT
v =Violation; 1,11 Minor
Violation
APPROPRIATE PERMIT ON HAND (BMC:15 ✓65.080)
3010001
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
1010008
i
VISIBLE ADDRESS
j (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)
1010006
"VERIFICATION OF LOCATION (CCR: 2729.2)
PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
VERIFICATION OF SDS AVAILABILITY (CCR: 27292(3)(b))
VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
1020002
y
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
1010010
e
CONTAINERS PROPERLY LABELED ! (CCR: 66262.34(f), CFC: 2703.5)
3030007
z
r
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 [B''NO
ii nature ofRecei t
Explain:
Inspector: t't
POST INSPECTION INSTRUCTIONS: K
a 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)
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301 -
Date
White - Business Copy Yellow — Station Copy Pink —'Prevention Services
FD2155 (Rev 8//14)