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BAKERSFIELD; FIRE DEPT.
Prevention Services
UNIFIED PROGRAM, INSPECTION CHECKLIST 2101 H Street
'f
' Bakersfield, CA 93301
SECTION 1 Hazardous Materials Business Plan Tel.: (661) 326 -3979
Inspection .., Fax: (66.1)852 -2171
FACILITY NAME ^" {^ }{ 8
INSPECTION DATE
INSPECTION TIME
ADDRESS �JFp§{
PHONE NO.
NO OF EMPLOYEES
3010001
FACILITY CONTACT
BUSINESS ID NUMBER
Consent o Inspect Name /Title
C V C= Compliance OPERATION
V =Violation; 1,11 Minor
C E RS
Violation
COMMENT
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)
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
r
VERIFICATION OF ABATEMENT SUPPLIES'& PROCEDURES (CCR:2731(c))
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
1010010
.Y
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? EI YES Ed NO
Si •�at�-eofRecei
'Pt" r pi t
Explain:
Inspector•
POST INSPECTION INSTRUCTIONS:
• Correct the violations) 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)