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BAKERSFIELD FIRE DEPT.
" Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST' ,: 2101 H Street
Aa
Bakersfield, CA 93301
SECTION 1: Hazardous, Materials Business Plan _ Tel.: (661)326 -3979
Inspection : Fax: (661) 852 - 2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME' "
NXII
i
APPROPRIATE PERMIT ON HAND (BMC: 1565.080)
ADDRESS
PHONE NO
NO OF EMPLOY EES
FACILITY CONTACT — r
BUSINESS ID NUMBER
3210043
F' Gi
Consent to Inspect Name /Title
tvll
CORRECT OCCUPANCY (CBC: 401)
C V C= Compliance OPERATION
V =Violation; I;II Minor
C E R S
Violation
_
COMMENT
NXII
APPROPRIATE PERMIT ON HAND (BMC: 1565.080)
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)
s ,
VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b))
r „
VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
1020002
VERIFICATION OF ABATEMENT-,, UPPLIES'& PROCEDURES, (CCR:2731(c))
r
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? ❑ YES 111' NO
Sienature ofRecei t
Explain:
Inspector: } " ev "'; Y, ?, .
POST INSPECTION INSTR CTIONS:
Correct the violation(s) noted above by
y g a _ g ° . copy page ?�. ( as noted) _
•. Within
Bakersfield Fire Deptt Prevent on Servl�ces ",2101 H and Street, return lifornia 933 101 a e to: Si � tore (that all violations have been corrected
Date
White'- Business Copy Yellow — Station Copy Pink —Prevention Services FD2155 (Rev '9 /2017)