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13AKERSPIELD FIRE DEPT,
Prevention Services
UNIFIED PROGRAM INSPECTON CHECKLIST
9 2101 H Street`
t� Bakersfield, CA 93301
SECTION 1 Hazardous Materials Business Plan -` Tel.: (661) 326 -3979
Inspection Fax: (661) 852 - 2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
1
ADDRESS
PHONE NO.
NO OF EMPLOYEES
FACILITY CONTACT
BUSINESS ID NUMBER
1`"`
Consent to Inspect Name /Title
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Section 1:�. ,.,Bu mess Plan an.d,,.lnventor.. Pfr � � � 3 � �
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ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE INSPECTION
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(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? ,,,.DYES ❑ NO
Si natureof "Recei t
Explain . #
Inspector: h M ...
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' -
White.-- x $ usiness Copy Yellow — Station Copy Pink Prevention Services FD2155 (Rev 9/2017)
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