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BAKERSFIELD 'FIRE DEPT.
Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST f 2101 H Street
3
,�r } Bakersfield, CA 93301
- � � �� Tel.:
SECTION 1: Hazardous Materials. Business Plan ( 661 ) 326 -3979
Inspection.
Fax: (661) 852 -2171
FACILITY NAME s
INSPECTION DA^ E INSPECTION TIME
(JA z '16
ADDRESS ._
PHONE NO.,, NO.OF EMPLOYEES
ID NUMBER
FACILITY CONTACT BUSINESS.
Consent to Inspect Name /Title
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1 � ,Section�1 _ Busy � Y 3
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ROUTINE El COMBINED El ;JOINT AGENCY ❑ MULTI- AGENCY D COMPLAINT . ❑ RE INSPECTION
C V OPERATION
C =Compliance C E RS
Violation COMMENT
V= Violation; 1,11 Minor #
APPROPRIATEPERMIT ON HAND (BMC: 15.65.080) 3010001
CERS INFORMATION ENTERED &c 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
77 VERIFICATION OF QUANTITIES (CCR: 2729.4) 1010006
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VERIFICATION OF LOCATION (CCR: 2729.2)
a t
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
i
CONTAINERS PROPERLY LABELED (CCR: 66262.34(1), CFC: 2703.5) 3030007
HOUSEKEEPING (CFC: 304.1)
FIRE PROTECTION (CFC: 903 & 906) 3030032
~ $ITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) 1010005
.�
Signature of Recei x
NY HAZARDOUS WASTE ON SITE? 0`YES ❑ NO �� ' ,
CIE., -�
Explain: ,
:Inspector•
POST INSPECTION INSTRUCTIONSs
Correct the violation(s) noted above. by -
e Within 5 days of correcting all of the violations, sign and return a copy of this page to:: Signature (that all violations have been collected as noted)
Bakersfield Fire Dept., Prevention Services; 2101 H Street, California 93301 Date
FD2155
White Rev 9/2017)
— Business Copy Yellow — Station Copy Pink — Prevention Services