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BAKERSFIELD. FIRE DEPT.
Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST 2101 H Street
,J Bakersfield CA 93301 .
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SECTION 1: Hazardous Materials Business Plan
Tel.:: (661)'326= 3979
Fax: (661') 852 -2171
Inspection;
INSPECTION DATE INSPECTION, TIME
FACILITY NAME -�`
.PHONE NO:. NO OR EMPLOYEES
ADDRESS''
BUSINESS ID NUMBER
FACILITY CONTACT -
:� ,
Consent to Inspect `Name /Title
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.� :siness Plana Y U
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❑ RE- INSPECTION`
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ROUTINE
❑ COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT
CERS
C V �= Compliance O P E RATION C O M M E N T
Violation
V= Violation; I'll Minor #
APPROPRIATE PERMIT ON HAND
(BMC:1565.080) 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))
p
EMERGENCY PROCEDURES ADEQUATE.
CCR: 2731) 1010010`
CONTAINERS PROPERLY LABELED (CCR: 66262.34(1), CFC: 2703.5) 3030007
(CFC: 304.1)
HOUSEKEEPING
FIRE PROTECTION
(CFC: 903 & 906) 3030032
SITE. DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) 1010005
NY HAZARDOUS WASTE ON, SITE? ❑YES °NO
Si nature of Recei t
Explain:
Inspector:
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)