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BAKERSFIELD FIRE DEPT.
Prevention Services
2101 x Street
UNIFIED PROGRAM INSPECTION CHECKLIST 1111.
sla Bakersfield, CA 93301
Tel.: (661)326-3979
SECTION 1: Hazardous Materials Business Plan
Fax: (661)852-2171
Insnection
- - —
FACILITY NAME
- /
COMMENT
INSPECTION DATE
NSPECTION TIME
E PERMIT ON HANG BMC: 15,&5.080
MATION ENTERED& UPDATED ANNUALLY (CCR', 2729.1)
i
3010001
3210043
PHONE NO.
OOF EMPLOYEES
ADDRESS
CUPANCY (CBC: 401)
USINESS ID NUMBER
FACILITY CONTACT
1010004
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. y
VERIFICATION OF QUANTITIES (CCR: 2]206)
1010008
Consent to inspect Neme/Tltlo
PROPER SEGREGATION OF MATERIAL (CFC 2]04.1)
Section 1: Business Plan and Inventory Program
ED ❑ dOINTAGENCY ❑ MULTIAGENCY ❑ COMPLAINT
OPERATION
irror
C VeCORRECTT�CUPANCY
CERS
Violation
e
COMMENT
E PERMIT ON HANG BMC: 15,&5.080
MATION ENTERED& UPDATED ANNUALLY (CCR', 2729.1)
i
3010001
3210043
ESS (OFC: 5051, BMC: 15.52.020)
CUPANCY (CBC: 401)
VERIFICATION OF INVENTORY MATERIALS (04R;2929:3)
1010004
VERIFICATION OF QUANTITIES (CCR: 2]206)
1010008
VERIFICATION OF LOCATION (CCR: 2929.2)
PROPER SEGREGATION OF MATERIAL (CFC 2]04.1)
VERIFICATION OF SOS AVAILABILITY (CCR: 2929.2(3)(6))
VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
1020002
/
VERIFICATION OFABATEMENT SUPPLIES&PROCEDURES (CCR:2931(c))
J
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
CONTAINERS PROPERLY LABELED (CCR'. 66282.34(1), CFC: 27035)
1010010
3030007
HOUSEKEEPING (CFC: 304.1)
FIRE PROTECTION (CFC: 903 & Nat
30300.3E
SITE 0IAGRAM ADEQUATE &ON HAND (CCR: 27282)
1010005
NY HAZARDOUS WASTE ON SITE? ja YES ❑ NO
i W.o f
xPlain: �-
POST INSPECTION INSTRUCTIONS:
• Correct the violation(%) noted above by Si nature (fiat all violations have been corrected As pared)
• Within 5 days Of correcting all of the violations, sign and return a copy of this page to: 8
Raketsfidd Fire Dep,. Prevention Settle, 2101 R Street, California 93301 Lute
White-Buslprxs Copy Yellow -Station COPY Pop,- Prevention Services FEE) 55 (Rev 9E2017)