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BAKERSFIELD FIRE DEPT.
Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST ;t.. 2101 H Street "
Bakersfield, CA:93301
SECTION 1: Hazardous Materials Business Plan :: Tel.: (661) 326 -3979
Inspection Fax: (661) 852 -2171
FACILITY NAME
-
C V C= Compliance OPERATION
INSPECTION DATE
INSPECTION TIME
V= Violation; 1,11 Minor
Violation
COMMENT
ADDRESS
F� /
PHONE NO.
3P 9
NO OF EMPLOYEES
FACILITY CONTACT
BUSINESS ID NUMBER
6,
Q.v - A { 1' " Y "� 9"• G'" fur.°
APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
d
Consent tpAInspect Name /Title
P -
CERS INFORMATION ENTERED &UPDATED ANNUALLY (CCR: 2729.1)
C V C= Compliance OPERATION
C E RS
V= Violation; 1,11 Minor
Violation
COMMENT
APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
301.0001
CERS INFORMATION ENTERED &UPDATED ANNUALLY (CCR: 2729.1)
3210043
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VISIBLE ADDRESS - (CFC: 505.1, BMC: 15.52.020)
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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
,Y
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)
F
FIRE PROTECTION (CFC: 903 & 906)
3030032
f
SITE DIAGRAM ADEQUATE & ON HAND. (CCR: 2729:2)
1010005
ANY HAZARDOUS WASTE ON SITE? OYES ❑ NO
Si nature of Receilpt
Explain ( A lc$j 7 r) >� �' r � �.,�� ��, �;; >� � ��� "c� e' r
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Inspector: _ .�; ,r r' ,' �r> , .�
POST INSPECTION JINSTRUCTIIgNS:
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• 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 beef 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)