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UNIFIED PROGRAM INSPECTION CHECKLIST 11 iV0 1)
SECTION 1: Hazardous Materials Business Plan
Inspection
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME INSPECTION DATE INSPECTION TIME
ADDRESS /I LL HONE NO, 0 O EMPLOYEES
O�IITE' C w
FACILITY CONTACT USINESS ID NUMBER
Consent to Inspect Nama Title
C V ' .nn 'a"ser OPERATION
V_Vlolation; 1,11 Minor
CERS
Violation
Section 1: Business Plan and Inventory Program
LF ROUTINE
❑
COMBINED ❑ JOINT AGENCY ❑ MULTI AGENCY ❑ COMPLAINT
❑
RE- INSPECTION
C V ' .nn 'a"ser OPERATION
V_Vlolation; 1,11 Minor
CERS
Violation
COMMENT
1? OPRIATE PERMIT ON HANG BMC: molls)
3010001
CERSANFOflMATION ENTERED& PDATED ANNUALLY (OCR: 2]29.1)
3210043
VISIBLE ADDRESS (CFC: 501 BMC: 15.52.020)
CORRECTOCCUPANCY (CBC: 401)
VERIFICATION OF INVENTORY MATERIALS (OCR:2729.3)
10IM4
VERIFICATION OFOUANTRIES (CCR: 2]29.4)
1010006
VERIFICATION OF LOCATION (OCR: 2129.2)
PROPER SEGREGATION OF MATERIAL (DEC: 2104.1)
VERIFICATION OF SDS AVANABILRY (MR: 2129.2(3)(6))
'
VERIFICATION OF HAZ MAT TRAINING (CCR: 2132)
1020002
L H r
VERIFICATION OF ABATEMENT SUPPLIES &PROCEDURES (CCR:2731(c))
EMERGENCY PROCEDURES ADEQUATE (008:2731)
MCI
COL
l 0 07 O U ✓ yl 4a'I
CONTAINERS PROPERLY LABELED (CCR: Oa2O2KI), CFO: 2103.5)
3OW07
HOUSEKEEPING (CFC: 304.1)
FIRE PROTECTION (CFC: 903 &BOO)
3030032
SITE DIAGRAM ADEQUATE& DN HAND (CCR: 2129.2)
1010005
ANY HAZARDOUS WASTE ON SITE? ❑YES NO
ansitup of -Woehot
xplain:
Greco
inspector -'�- yY`0(AN
POST NSPEMON INSTRUCTIONS:
• Covosi the violation(s) noted above by
• Within 5 days ofcortstingall oftheviolations, sign andremm poppy ofthispege to:
Bakersfield Fire Dept, Prevention Serviocs, 2101 H Socc, Colifomia 93301
White - Business Copy Yellow - Station Copy Pink- Prevention Services
Sigaeme (the ell violations have been corrected es noted:
Dole
M2155 (Rev 9f2017)
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