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UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Hazardous Materials Business Plan �V1
Inspection
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 3263979
Fax: (661) 852 -2171
FACILITY NAME NSPECTION ATE NSPECTION TIME
C, 7i -... _ / X13 f
ADDRESS '2 `7 P HONE NO. OF EMPLOYEES
i0.
FACILITY CONTACT USINESS ID NUMBER
onsent to Inspect NameRjllk
C V G.UrOmplanee OPERATION
V- Viosoton; 1.11 Minor
CERS
Violation
n
Section
1: Business
Plan
and Inventory Program
3010001
Nr ROUTINE
❑
COMBINED ❑
JOINTAGENCY
❑
MULTI- AGENCY ❑ COMPLAINT
❑
RE INSPECTION
C V G.UrOmplanee OPERATION
V- Viosoton; 1.11 Minor
CERS
Violation
n
COMMENT
APPFICIeRIATE PERMIT ON HAND MC:15.85.OW
3010001
CER AFORMATIONENTERED UPDATED ANNUALLY (CCR:27n.1)
3210043
5--7-t5
VISIBLEADDRESS (CFO: W5.I, BMC: 15.52.020)
CORRECTOCCUPANCY (CBC: 401)
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
1010004
VERIFICATION OF OUANTTIES (CCR:2729.4)
1010008
VERIFICATION OF LOCATION (CCR: 27292)
PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
VERIFICATION OF SDS AVAILABIUTY (CCR: 27292(3)0))
VERIFICATION OF HAZ MAT TRAINING (CCR:2782)
Imoom
VERIFICATION OFABATEMENT SUPPLIES &PROCEDURES (OCR:2751(C))
EMERGENCY PROCEDURES ADEQUATE (CCR:2731)
1010010
•1 Q-�P[
V
1,•.. 0.�
CONTAINERS PROPERLY LABELED (CCR:8328234(1),CFC:2703.5)
3030007
HOUSEKEEPING (CFO: 304.1)
FIRE PROTECTION (CFO: 903 &908)
mmm
SITE DIAGRAM ADEQUATE &ON HAND (CCR:2729.2)
1010005
NY HAZARDOUS WASTE ON SITE? ❑ YES O
N of Rec'
xplain:
Inspector: W ln'1 cizz
POST INSPECTION INSTRUCTIONS:
• Cmrect the violation(s) noted above by
• Within 5 days of conecdng all of the violadons, sign and retum a COPY of this page to:
Bakersfield Fire Dept, Prevention Services, 2101 H Street California 93301
Signature (that all violatimte have been corrected m used)
White - Business Copy Yellow - Station Copy Pink - Prevention Services M2155 (Rev 912017)
G11