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BAKERSFIELD FIRE DEPT.
Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST . . 2101 H Street;
axe Bakersfield, CA 93301
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SECTION 1: Hazardous Materials Business Plan Tel.: (661)326 -3979
` Fax: . (661) 852 - 2,171
Inspection
INSPEC 10 DATE INSPECTION TIME,
FACT$ IT NAME
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_ PHONE N0. NO OF EMPLOYEES
ADDRESS ...
BUSINESS JD NUMBER'
FACILITY CONTACT
Consent to Inspect Name /Title
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3 Sectron 1 Business P �-
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❑ ROUTINE ❑ COMBINED
❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V c =Compliance OPERATION C E RS
COMMENT
V= Violation; 1;11 Minor Violation
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APPROPRIATE PERMIT ON HAND
BMC:1565.080) 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
CCR: 2729.4
VERIFICATION OF QUANTITIES ( ) 1010006"
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(1), CFC: 2703:5) 3030007
HOUSEKEEPING (CFC: 304.1)
- (CFC: 903 & 906)
FIRE PROTECTION 3030032
SITE DIAGRAM ADEQUATE &'ON HAND (CCR: 2729.2) 1010005
NY HAZARDOUS WASTE ON SITE?
El YES NO
Sign ature' of Receipt
Explain:
Inspector:
POST INSPECTION INSTRUCTIONS:
e Correct the violation(s) noted above by corrected as noted)
e Within 5 days of correcting all of the violations, sign and return a.copy of this page to: Signature (that all violations have been core
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301 Date
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FD2155 (Rev 9/2017)
White — Business Copy Yellow— Station Copy Pink -, Preventio n Services