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BAKERSFIELD F RE DEPT.
Prevention Services
-UNIFIED PROGRAM INSPECTION CHECKLIST 2101 HStreet
Bakersfield, 'CA 93301
SECTION 1 Hazardous Materials Business Plan Tel.: (661) 326"-3979
InweCtiOn k Fax: (661) 852 -2`171
FACILITY NAME INSPECTIO DATE. O TIME c " , ��
ADDRESS PHONE NO. NO OF EMPLOYEES
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FACILITY CONTACT BUSINESS ID NUMBER
Consent to Inspect Name/Title
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ess. Plan
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�lq ROUTINE COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C= Compliance ,
,C. V OPERATION CERS-
V= Violation; 1, 11, Minor Violation COMMENT
j /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 ,r (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)) ? ,
f f 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: 662,62 34 ft 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? 13�ES ❑ NO 'Signature ofRecei t,,
Explain:# �,...
Inspector:
POST INSPECTION INSTRUCTIONSs,','�rl:;r
Correct .the violations) 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 Business Copy Yellow— Station Copy Pink Prevention Services FD2155 (Rev 9/2017)
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