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BAKER FIELD I DEPT.
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Prevention Services
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'UNIFIED PROGRAM �"INSPECT.ION CHECKLIST 2101 H Street n�'
h Bakersfield, CA 93301
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SECTION 1 Hazardous Materials'Business Plan Tel.: (661),326-3979'
Inspection Fax: (661) 852 -2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
12.r_ -
ADDRESS
PHONE NO.
NO OF EMPLOYEES
FACILITY CONTACT
BUSINESS ID NUMBER
Consent to Inspect Name /Title
C V C =Compliance OPERATION
v= violation; 1,11 Minor
C E RS
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
".
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(17, 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? 9YES ❑ NO
.
Si nature ofReceii
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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 2101- H Street, California 93301
Date
FD2155 (Rev 9/2017
White'- Business Copy Yellow —Station Copy Pink.— Prevention Services )