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BAKERSPIELDFIRE DEPT.
PreVention Services
UNIFIED PROGRAM INSPECTION CHECKLIST 2101 H 'Street
Bakersfield, CA 93301
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Tel.: (661) 326-3979
SECTION 1: Hazardous Materials Business Plan
-2171
lnsr)ection Fax: (661) 852
FACILITY NAr INSPECTION DATE INSPECTION TIME
x -41
ADDRESS y cx [A JO(A c PH NO. NO OF EMPLOYEES
7, n3
FACILITY CONTACT BUSINESS ID NUMBER
Consent to Inspect Name/Title
o
2!
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Iness,14--an , y
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❑ ROUTINE .<:ff, COMBINED ❑ J81'NT'`AGENCY ❑ MULTI-AGENCY CO PLAINT ❑ RE-INSPECTION'
C V C=Compliance OPERATION CERS
Violation COMMENT.
V=Violation; 1,11 Minor
APPROPRIATE PERMIT ON HAND. (BMC: 15.65.080)_ 3010001
CX\ CERS INFORMATION ENTERED & UPDATED ANNUALLY (CCR: 2729.1) 3210043
VISIBLE ADDRESS (CFC: 505.11,BMC: 15.52.020)
CORRECT. OCCUPANCY (CBC: 401).
VERIFICATION OF, INVENTORY MATERIALS. (CCR: 2729.3) 1010004
1010006
VERIFICATION OF QUANTITIES (CCR: 2729.4)
(CCR: 2729.2)
VERIFICATION OF LOCATION
PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
Cx
VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b))
1020002r
�v VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
VERIFICATION OF ABATEMENT SUPPLIES& PROCEDURES (CCR: 2731(c))
EMERGENCY rPROCEDURES ADEQUATE (CCR: 2731) 1010010
(CCR: 66262.34(fl, CFC: 2703.5) 3030007
CONTAINERS PROPERLY LABELED
(CFC`. 304.11)
HOUSEKEEPING
LX\
(CFC: 903 & 906)
FIRE PROTECTION 3030032
SITE DIAGRAM. ADEQUATE & ON HAND (CCR: 2729.2) 1010005'
Si nature of Rece it
41
NY HAZARDOUS WASTE ON SITE? ❑ YES C,�NO
Explain:
j Wai.
Inspector:
POST INSPECT ON INSTRUCTIONS:
o Correct the violation(s) noted above by Signature that all violations have been* corrected as I noted)
• Within 5 days of correcting.all of the violations, sign and return a copy of this page to:
CHECKLIST �ST
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Business Plan
Bakersfield Fite Dept., Prevention Services, 2 101 H Street, California 93301
Date
Prevention Services ..FD21,55(Re'v9/2017)
White —Business Copy. Yellow —,Station Copy Pink