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BAKERSFIELD FIRE DEPT.
Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST 2 101 H Stteet
Bakersfield; CA 93301
SECTION 1: Hazardous Materials Plan Tel.: (661) 326-3979
Insoection Fax: (661) 852-2171
FACILITY NAME INSPECTION DATE
�T
- dsiPAn anal
N V
..... .... ..... ..... . . .
❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI-AGENCY ❑ COMPLAINT ❑ RE-INSPECTION,
C v C=Compliance OPERATION
CER&',
V=Violation; 1,11 Minor
ADDRESS
ZI? L"v i,-
111�;r
PHONE NO.
C 3 1 J
NO OF EMPLOYEES
FACILITY CONTACT
BUSINESS ID NUMBER
APPROPRIATE PERMIT ON HAND. (BMC: 15.65.080)
Consent to Inspect Name/Title
�T
- dsiPAn anal
N V
..... .... ..... ..... . . .
❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI-AGENCY ❑ COMPLAINT ❑ RE-INSPECTION,
C v C=Compliance OPERATION
CER&',
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
VERIFICATION OF QUANTITIES (CCR: 2729.4)
1010006
or.
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 ft CFC: 2703.5)
.3030007
HOUSEKEEPING (CFC: 304.1)
FIRE PROTECTION (CFC:, 903 & 906)
3030032
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
1010005Xk
lell
ANY HAZARDOUS WASTE ON SITE? E9-YES ❑ NO
Shinaturk of kege%t I
Explain:
Inspector- 'T "";,N ck I
7�
POST INSPECT 10 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 93,301
Date
White — Business Copy Yellow — Station Copy Pink = Prevention Services FD2155 (Rev 9/2017)