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HMBP INSP 12.5.19
UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Hazardous Materials Business Plan Inspection BA FIRE DEPT. Prevention Services 2101 H Street Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME . �" d n v NSPECTK)N PATE /7 /s i NSPECTION TIME ADDRESS Cr 4 /f'XA11/1 iAN R4 - 4 oHONE NO. iNO OF EMPLOYEES FACILITY CONTACT I BUSINESS ID NUMBER ntp sped NamelTilI. 1 Section 1: Business Plan and Inventory Program ROUTINE ❑ COMBINED ❑ JOINTAGENCY ❑ MULTI AGENCY ❑ COMPLAINT ❑ RE INSPECTION C V G.Uompfienoe OPERATION v =Yrolatlon; 1.11 Minor CERS Violation n COMMENT APPROPRIATE PERMIT ON HAND MC: 15.65.000 3010001 ✓ CERS INFORMATION ENTERED& UPDATED ANNUALLY (CCR:2729.1) 3210043 ✓ VISIBLE AODRESS (DEC: 5011, BMC: 15.52.020) CORRECTOCCUPANCY (CBC: 401) �. VERIFICATION OF INVENTORY MATERIALS (CCR:2729.3) 1010004 VERIFICATION OF QUANTITIES (CCR:2729.4) 1010008 VERIFICATION OF LOCATION (CCR: 2]29.2) �.- PROPER SEGREGATION OF MATERIAL WFC: 2 ]04.1) ✓ VERIFICATION OF SOS AVAILABILRY (CCR: 2]29.2(3)(b)) y VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) 1020002 V VERIFICATION OF ABATEMENT SUPPLIES &PROCEDURES (CCR:2]31(ch ✓" EMERGENCY PROCEDURES ADEQUATE (CCR:2731) 1010010 / CONTAINERS PROPERLY LABELED (CCR,6S262.34(1),CFC:271CSI 303000] ✓ HOUSEKEEPING (CFC:304.1) ✓ FIRE PROTECTION (DEC: 903&GGS, - SITE DIAGRAM ADEQUATE &ON HAND GDR: 2]29.2) 1010005 NY NAZA RDOUS WASTE ON SITE? © ES ❑ NO I ��.2_ x p al h: „/ - Inspector: �' ✓c i. ,� S. POST INSPECI7 [NSTRUC17691V5: • Correct the violazion(e) ..Led above by • Within 5 days of correcting all of the violations, sigh and retum a copy of this page to: Bakersfield Fire Dept., Poevention Smires, 2101 H Sited, Celifomia 93301 White - Bnslness Copy Yellow - Station Copy Pink - Prevention Scrvims Signature (that all violations have Veen corrected. noted) Date M2155 (Rev 9/2017)