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BAKERSFIELD FIRE DEPT.
Prevention Services
UNIFIED ;PROGRAM -INSPECTION CHECKLIST 2101 H Street
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f '{ Bakersfield, CA 93301
Tel.: 661 326 -3979
SECTION 1: Hazardous Materials Business Plain ( )
Fax: (661) 852 -2171
Inspection
" INSPECTION DATE, INSPECTION TIME' ✓ , ,
FACILITY NAME'
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PHONE NO.: NO.OF EMPLOYEES
ADDRESS �,»✓: ",
` BUSINESS ID NUMBER
FACILITY CONTACT
Consent to Inspect Name /Title
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ONi _.w.. '❑ RE- INSPECTION-
@��"m ROUTINE COMBINED ❑ - .JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT
C V o= Compliance OPERATION
GERS'
Violation COMMENT
V= Violation; 1,11 Minor #
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
VERIFICATION OF.ABATEMENT SUPPLIES & PROCEDURES (CCR; 2731.(c))
EMERGENCY PROCEDURES ADEQUATE _ (CCR: 2731) 1010010
CONTAINERS PROPERLY LABELED (CCR: 66262.34(fl, CFC: 2703.5) 3030007
(CFC: 304.1)
HOUSEKEEPING
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CFC: 903 & 906)
FIRE PROTECTION 3030032
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) 1010005
Si nature.of Recei
NY HAZARDOUS WASTE ON SITE? ❑ YES [ li�NO
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Explain:
Inspector: k ;� rem' Sad . s�� i
POST INSPECTION INSTRUCTIONS:
Correct the violation(s) noted above by Signature that all -violations have been corrected as noted)
Within. 5 days of correcting all of the violations, sign and return a copy of this page to:
• Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
Date
White - Business Copy Yellow Station Copy Pink = Prevention Services
FD2155 (Rev 9/2017)