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BAKERSFIELD -FIRE DEPT.
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Prevention ion Sery ces
UNIFIED-PROGRAM I NS P ECT I ON CHECKLIST
2101 H Street
Bakersfield, CA 93301
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SECTION 1: Hazardous Materials Business Planu f Tel.: (661) "326 -3979'
Insoectioln Fax: (661) 852 =2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
C E RS
ADDRESS
PHONE NO.
NO OF EMPLOYEES
COMMENT
FACILITY CONTACT
BUSINESS ID NUMBER
Consent to Inspect Name /Title f
APPROPRIATE PERMIT ON HAND "(BMC: 15.65.080)
C - V C =Compliance OPERATION
C E RS
"
V= Violation; 1,11 Minor
Violation
COMMENT
#
APPROPRIATE PERMIT ON HAND "(BMC: 15.65.080)
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
.M
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(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
Si nature ofReceipt
Explain:
Inspector: " ) t x
POST INSPECTION INSTRUCTIONS:
s Correct the violations) 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 beenr corrected as noted)
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
Date.,
White - Business Copy Yellow — Station Copy Pink - Prevention Services FD2155 (Rev 9/2017) .