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BAKERSFIELD FIRE DEPT.
Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST 2101 HStreet
Bakersfield, CA 93301,
SECTION 1: Hazardous Materials Business Plan '_ . ", Tel.: (661) 326 -3979
Inspection Fax: (661) 852- 2171
FACILITY NAME`
I /ECT ON DATE
INSPECTION TIME
6
!
.
ADDRESS ti
PHONE NO..
NO OF EMPLOYEES
a
FACILITY CONTACT
BUSINESS ID NUMBER
Consent to, Inspect Name /Title
APPROPRIATE PERMIT ON HAND {BMC: 15:65.080)
3010001
C V C= - Compliance
C E RS
.OPERATION
V= Violation; 1,11 Minor
Violation
COMMENT
APPROPRIATE PERMIT ON HAND {BMC: 15:65.080)
3010001
CERS INFORMATION ENTERED &UPDATED ANNUALLY (CCR: 2729A).
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)
w .
PROPER SEGREGATION OF MATERIAL (CFC:' 2704.1)
VERIFICATION OF SDS AVAILABILITY (CCR: 2729:2(3)(b))
VERIFICATION:OF HAZ MAT TRAINING (CCR: 2732)
1020002
a
VERIFICATION OF ABATEMENT SUPPLIES& PROCEDURES. (CCR: 2731(c))
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
1010010
CONTAINERS PROPERLY LABELED (CCR: 66262.34(1), CFC: 2703.5)
3030007
HOUSEKEEPING (CFC: 304.1)
}
FIRE PROTECTION (CFC: 903 & 906)
3030032
'
SITE DIAGRAM. ADEQUATE & ON HAND (CCR: 2729.2)
1010005
i
ANY HAZARDOUS :WASTE ON SITE? DYES ; ❑ NO
Si nature of Recei d
� V 1.
Explain:
& .
Inspector:1 6�
POST INSPECTION INSTRUCTIONSs
e 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 been 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)