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BAKERSFIELD FIRE DEPT.
Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST 210TH Street
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Bakersfield, CA 93301
SECTION 1: Hazardous Materials Business Plan R�� _.
Tel.: (661) 326 =3979
Inspection .;
Fax: (661) 852 -2171
INSPECTION DATE INSPECTION TIME;
FACILITY NAME
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r.: "° t.._, _ $tW' PHONE NO... NO
.OF EMPLOYEES
ADDRESS ,?
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BUSINESS ID NUMBER
r•./1 A ITA(—T
1 �
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C V
C E R S
Violation
COMMENT
=Compliance OPERATION
V= Vioiation; 1,11 Minor
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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)
1.010006
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(17, 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 Receipt
_
Explain:
Inspector:
POST INSPECTION INSTRUCTIONS:
Correct the violation(s) noted above by
sign and return a copy of this page to:
Signature (that; all violations have been corrected as noted)
s of correctin all of the violations,
Within 5 day g
Prevention Services, 2101 H Street, California 93301
Bakersfield
Fire Dept.,
Date ,
White — Business Copy Yellow — Station Copy Pink — Prevention Services FD2155 (Rev 9/2017)