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BAKERSFIELD FIRE DEPT.
UNIFIED PROGR .
Prevention Services
AM INSPECTION CHECKLIST 2101 H Street
{ i Bakersfield CA 93301
SECTION 1 Hazardous Materials Business Plan ;f{ Tel.: 661 .326 -3979
Ilnspectioin Fax: 661) 852-2171()
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FACILITY NAME INSPECTION DATE INSPECTION TIME'
ADDRESS PHONE NO. NO OF EMPLOYEES
k
FACILITY CONTACT' BUSINESS ID NUMBER
} ., •. 02 #
onsentto Inspect Name /Title
C= Compliance
C V OPERATION
CERS'
V =Violation; I;II Minor -
Violation
COMMENT
'
APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
3010001
PER 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
,VERIFICATION OF QUANTITIES (CCR: 2729.4)
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(8, CFC: 2703.5)
3030007
HOUSEKEEPING (CFC:'304.1)
FIRE PROTECTION (CFC: 903 & 906)
3030032
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
1010005
ANY HAZARDOUS, WASTE ON SITE? RrYES ❑ NO I`'
Signature ofRecei't
Inspector: .., .. ;� -,<
.,
71 YLGAYSyG�fW `11" v"?
POST INSPECTION INSTRUCTIONS:
• Correct the violation(s) noted above by `
• Within 5 days of correcting all of the violations, sign and return a copy of this page o: , Signature, (that all violations have been corrected as noted)
- Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301 `
,.r Date
White.= Business Copy Yellow — Station Copy Pink- Prevention Services FD2155 (Rev 9 /2017)