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BAKERSFIELD FIRE DEPT.
Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST ` f. ` ' 2101 H Street
., Bakersfield, CA 03 01
SECTION 1 Hazardous Materials Business Plan., Tel:: (661):326-3979
Inspection Fax:. (661) 852 -2171
FACILITY NAME
INSPECTION DATE,
INSPECTION TIME .
ADDRESS
PHONE.NO.
NO OF EMPLOYEES
FACILITY CONTACT
BUSINESS. ID NUMBER
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. ROUTINE, ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI-AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C Com,plianco
C V OPERATION CERS
V.Violation; 1,11 Minor' Violation .' COMMENT
3010001.
:APPROPRIATE PERMIT ON HAND: (BMC: 15.65.080)
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 SIDS AVAILABILITY (CCR: 2729.2(3)(b))
VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) 1020002
VERIFICATION OF ABATEMENT SUPPLIES &PROCEDURES (CCR: 27'31(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 Si natu�Ce ofR cei
Explain:
Inspector•
POST INSPECTION INSTRVCTIONS:
• Correct the violations) noted above by f
• 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, 2. 101 H Street, California 93301
Date
White - Business Copy Yellow - Station Copy Pink— Prevention Services FD2155 (Rev 9/2017)