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BAKERSFIELD FIRE RE DEPT.
Prevention Services
UNIFIED PROGRAM INfSPECTION CHECKLIST �'. r :`,, 2101HStreet
.' Bakersfield, CA 93301
SECTION 1: Hazardous Materials Business Plan Tel.: (661) 326 -3979
Inspection Fax: (661) 852 -2171
FACILITY NAME
`INSPECTION
DATE
INSPECTION TIME
ADDRESS
AJc
PHONE NO.
NO OF EMPLOYEES
tea:"
FACILITY CONTACT
COMMENT ,
BUSINESS ID NUMBER
.:� 157 '79
Consent to Inspect Name /Title
C v C= Compliance OPERATION -
C E RS
V= Violation; 1,11 Minor
Violation
COMMENT ,
APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
3010001
s
CERS INFORMATION ENTERED & UPDATED ANNUALLY (CCR: 2729.1)
3210043
k
VISIBI -t DDRESS (CFC: 505.1, BMC 15.52.020)
CORRECT OCCUPANCY.. (CBC: 401)
*.
VERIFICATION OF. INVENTORY MATERIALS (CCR: 2729.3)
1010004
A
VERIFICATION OF QUANTITIES CCR: 2729.4
( )
1.010006
VERIFICATION OF LOCATION (CCR: 2729.2)"""""""
p
;4-
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)
FIRE PROTECTION (CFC: 903 & 906)
3030032
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
1010005
ANY HAZARDOUS WASTE ON SITE? ❑ YES NO lSiLmature
ofReceipt
Explain:
Inspector:
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 to: ' Signature (that all violations have been,' corrected as noted)
Bakersfield Fire Dept., Prevention Services 210.1 H Street, California 93301 -
Date
White - Business Copy Yellow — Station Copy Pink - Prevention Services , FD2155.(Rev 9/2017) ,