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BAKERSFIELD ;,FIRE DEPT.
Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST 2101 H Street
" Bakersfield, CA 93301
, rf,
4 Tel.: (66'1) 326 -3979
SECTION 1: Hazardous Materials Business Plan �,
Fax: 661 852 -2171
( )
Inspection
INSPECTION DATE INSPECTION TIME,
FACILITY NAME
PHONE NO. NO.OF EMPLOYEES
ADDRESS
BUSINESS ID NUMBER
FACILITY CONTACT
Consent to Inspect Name /Title
3n : ";i ^.
211-
�.. ❑ RE- INSPECTION
7„ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT
C V =Compliance OPERATION C ERS
v= violation;'I;II 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
VERIFICATION OF QUANTITIES (CCR: 2729.4) 1010006
VERIFICATION OF LOCATION
(CCR: 2729.2)
Ile 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(fl, CFC : 2703.5) 3030007
HOUSEKEEPING
(CFC: 304.1)
FIRE PROTECTION
(CFC: 903 & 906) 3030032
.;.
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) 1010005
Signature of Recei t
j NY HAZARDOUS WASTE ON SITE? YES ❑ N�
Explain:.
i
Inspector•; ° /
POST INSPECTION INSTRUCTIONS:
Correct the violation(s) noted above by Si afore that all violations have been corrected as noted)
o Within 5 days of correcting all of the violations, sign and return a copy of this page to: �
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301 Date
White - Business Copy Yellow — Station Copy Pink - Prevention Services 017)
FD2155 (Rev 9 /2