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BAKERSFIELD FIRE DEPT.
UNIFIED PROGRAM INSPECTION CHECKLIST' Prevention Services
r��'� � 2 -101 H Street
Bakersfield, CA 93301
SECTION 1: ,.
Hazardous Materials Business Plan Tel.: (661) 326 -3979
Inspection Fax: (661) 852 =2171
FACILITY NAME
INSPE TON DATE, INSPECTION TIME
�. �.
ADDRESS e, PHON €E'NO NO OF EMPLOYEES
FACILITY CONTACT BUSINESS ID NUMBER
Consent to Inspect Name /Title'
C C= Compliance
V OPERATION CERS
V= Violation; 1,11, Minor Violation COMMENT
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POST INSPECTION INSTRUCTIONS:" -
• Correct the violation(s) noted above by
• Within 5 days of correcting 411 of the violations, sign and return a copy of this page to: Signature t at all iolations have been corrected as noted)
Bakersfield Fire Dept., Prevention Services; 2101 H Street, California 93301 j q
Dates -z-
White Business Copy Yellow — Station Copy Pink - Prevention Services FD2155 (Rev 9/2017)
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`APPROPRIATE PERMIT ON HAND (BMC: 15:65.080) 3
3010001_
CERS INFORMATION ENTERED & UPDATED ANNUALLY (CCR: 2729.1) 3
3210043
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
CORRECT OCCUPANCY (CBC: 401)
' V
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) 1
1010004
,ed ,0 od-
VERIFICATION OF QUANTITIES
(CCR: 2729.4) 1
1010006 ',
ti
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) 1
1020002
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR; 2731.(:))
. E
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) 1
1010010 -
-
CONTAINERS PROPERLY LABELED (CCR: 66262.34(1), CFC: 2703.5) 3
3030007
HOUSEKEEPING (CFC: 304A)
FIRE PROTECTION (CFC; 903 & 906)
3030032
SITE, DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
1010005 v
v
NY HAZARDOUS WASTE ON SITE? ❑ YES NO S
Signature of Recei t
- Explain:
Inspector: t Y h
POST INSPECTION INSTRUCTIONS:" -
• Correct the violation(s) noted above by
• Within 5 days of correcting 411 of the violations, sign and return a copy of this page to: Signature t at all iolations have been corrected as noted)
Bakersfield Fire Dept., Prevention Services; 2101 H Street, California 93301 j q
Dates -z-
White Business Copy Yellow — Station Copy Pink - Prevention Services FD2155 (Rev 9/2017)