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BAKERSFIELD FIRE DEPT.
Prevention Services
UNIFIED PROGRAM, INSPECTION CHECKLIST 2101 H Street
B,akersfiel "d,.CA 93301 ,
SECTION 1 Hazardous Materials Business .Plan Tel.: (661.)3,26-3979
K Fax: (661) 852 -2171
Inspection
INSPEC IO DATE INSPECTION TIME '
FACILITY NAME
PHONE NO. NO OF EMPLOYEES
ADORES,
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BUSINESS ID NUMBER
FACILITY CONTACT
Consent to Inspect Name /Title
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E ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑- COMPLAINT ❑ RE- INSPECTION:
C v C= Compliance . C'E R1
OPERATION violation COMMENT
V= Violation; I;II Minor #
APPROPRIATE PERMIT ON HAND {BMC: 1b.65.080)
3010001
CERS INFORMATION ENTERED ANNUALLY (CCR: 2729.1) 3210043
VISIBLE ADDRESS (CFC: 505.1, BMC: 15:52.020)
CORRECT000UPANCY (CBC: 401)
' VERIFICATION OF: INVENTORY MATERIALS (CCR: 2729.3) 1010004, h,,'i �x �"'
VERIFICATION OF QUANTITIES (CCR: 2729.4) 1010006
CCR: 2729.2
VERIFICATION OF LOCATION (CCR:
PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
"VERIFICATION OF SDS AVAILABILITY (CCR: 2729:2(3)(b))
VERIFICATION OF 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(f , 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? ❑ YES 2"NO
Si nature of Receipt
Explain:
Inspector:
POST INSPECTION INSTRUCTIONS:
Iq
• Correct the violation(s) noted above by
Within 5 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: `
FD2155 (Rev 9/2017)
White — Business Copy Yellow — Station Copy Pink — Prevention `Serviees