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UNIFIED PROGRAM INSPECTION CHI
Haz-Mat Business Plan and Inventory Progn
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME f
NAVOL- .c-�-
INSP Ct TI
N DATE
INSPECTION TIME
V= Violation
10/ ❑
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
ADDRESS
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PH E 1�0.
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O OF EMPLOYEES
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C, O F ir—c-c- C)I C2 Z
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FACILITY CON T T ^jj p j�7 t�
BUSjINESS 10 NUMBER?
Ll.. ❑
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
onsent to Inspect Name /Title
C v
C= Compliance OPERATION
COMMENTS
V= Violation
10/ ❑
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
❑
APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
❑
CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H &S 25404(e)
C, O F ir—c-c- C)I C2 Z
❑
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR:2729.1)
Ll.. ❑
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
❑
VERIFICATION OF QUANTITIES (CCR: 2729.4)
,- ❑
VERIFICATION OF LOCATION (CCR: 2729.2)
�. ❑
PROPER SEGREGATION OF MATERIAL (CFC: 5004.1)
l
❑
SAFETY DATA SHEET AVAILABILITY (CCR: 2729.2(3)(b))
, El
VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
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I� ❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731(c))
❑
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
C.. ❑
CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
r ❑
HOUSEKEEPING (CFC: 304.1)
❑
FIRE PROTECTION (CFC: 903 & 906)
❑
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3))
ANY HAZARDOUS
WASTE ON SITE? YES ❑ NO
Explain:
Ail
i nature of Rec
POST INSPECT
ION INSTRUCTIONS FOR RETURN -TO- COMPLIANCE:
• Correct the violation(s) noted above by
Signature (that all violations have been corrected as noted)
• Within 5 days
of correcting all of the violations, sign and return a copy of this page to:
,
Bakersfield
Fire Dept., Prevention Services, 2101 H Street, California 93301
Date
white — Business Copy
Yellow — Business Copy to be Sort in aaerremm to Compliance Pink Prevention
Services Copy M2155 (Re, 1114)