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` "BAKERSFIyELD FIRE DEPT.
Prevention. Services
UNIFIED PROGRAM. INSPECTION CHECKLIST.: 2101 H Street
f Bakersfield, CA 93301
Hazardous Materials Business Plan
SECTION 1 � Tel.: (661) 326 -3979 �� � "•,,.
Inspection, Fax: (661) 852 -2171
FACILITY NAM
C E RS
Violation
INSPECTION DATE
INSPECTION TIME
ADDRESS
4.+ ,
� ..� � s. V
PHONE NO.
NO OF EMPL
EMPLOYEES
FACILITY CONTACT
BUSINESS ID NUMBER
Consent to Inspect Name /Title
„_. -.: .:.., i ,.. �... , .. .:.. .. :.,;:,i ... �.: .. �..:. .e ,• a ,. ., �..,., � 3 :� �3 '' ..�. ryt 7 ,3.�u y i:� � o- a e
Section;1 .. Business.;Plan an,d 1nvento.r., Pro ram
,
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY. ❑ COMPLAINT ❑ RE- INSPECTION
C V C= Compliance OPERATION
V= Violation; I'll Minor
C E RS
Violation
-
COMMENT
APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
3010001
Vj
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)
1010006
VERIFICATION OF LOCATION (CCR: 2729.2)
PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b))
1
VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
1020002
'+
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
1010010
d{
CONTAINERS PROPERLY LABELED (CCR: 66262.34(1), CFC: 2703.5).
3030007
HOUSEKEEPING (CFC: 304.1)
FIRE PROTECTION ` (CFC: 903 & 906)
3030032
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
1010005
NY HAZARDOUS WASTE ON, SITE? 171 YES NO
Si nature- ofRecei
t
Explain: c- .
Inspector: .',* `t 5 � �`" 1<
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)
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
Date
White — Business Copy Yellow — Station Copy Pink Prevention Services FD2155 (Rev 9/2017)'