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BAKERSFIELD° FIRE DEPT.
Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST 2101 H Street
;} Bakersfield, CA 93301
SECTION 1: Hazardous Materials Business Plan f Tel.: (6'61) 326 -3979
Inspection � � Fax: (661) 852- 2171..
FACILITY NAME INSPECTION DATE, INSPECTION TIME
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PHONE NO. NO OF EMPLOYEES
ADDRESS
BUSINESS ID NUMBER
FACILITY CONTACT
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Con sent to Inspect Name /Title
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ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑' COMPLAINT El RE-'INSPECTION
C V C= Compliance C E RS
OPERATION
Violation` COMMENT
V= Violation; I;II.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 (C60: 401)
VERIFICATION OF, INVENTORY. MATERIALS ( ) 1010004
CCR: 2729.3 -
VERIFICATION OF QUANTITIES (CCR: 2729.4) 1010006
VERIFICATION OF LOCATION (CCR: 2729.2)
PROPER SEGREGATION OF MATERIAL (CFC: 2704:1)
r 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))
Me
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) 1010010
CONTAINERS PROPERLY LABELED. (CCR: 66262.34 ft CFC: 2703.5) 3030007
HOUSEKEEPING {CFC: 304.1)
FIRE PROTECTION (CFC: 903 & 906) 3030032
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) 1010005
NY HAZARDOUS WASTE ON SITE? DYES ® NO
Si nature of Receipt "
Explain:
Inspector:
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POST_ INSPECTION. INSTRUCTIONS:
e Correct the violations) noted above by
• Within S 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
Pink — Prevention Services
White — Business Copy Yellow.— Station Copy
FD2155 ev 9/2017)