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UNIFIED PROGRAM INSPECTION CHECKLIST®�
SECTION 1: Hazardous Materials Business Plan !v1
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661)326-3979
Fax: (661)852-2171
Inspection
FACILITY NAME ,1 NSP T N DAT INSPECTION TIME
�* /2 2D
ADDRESSIFTONNo
.I OOF EMPLOYEES
FACILITY CONTACT BUSINESS ID NUMER
omen 101 sped NemeRitle
1 N\LY
C V CFCanipOanCe OPERATION
V=moleSon; 1.11 Minor
CERS
Violation
u
Section 1: Business Plan and Inventory Program
ROUTINE
❑
COMBINED ❑ JOINTAGENCY ❑ MULTI -AGENCY ❑ COMPLAINT
❑
RE -INSPECTION
C V CFCanipOanCe OPERATION
V=moleSon; 1.11 Minor
CERS
Violation
u
COMMENT
APPROPRIATE PERMIT ON HANG BMG: 1565.060)
3010001
CERS INFORMATION ENTERED& UPDATED ANNUALLY (CCR: 2128.1)
1010008
/
VISIBLEADDRESS (CFC: 05.1, BMC: 15.52.020)
/
CORRECTOCCUPANCY (CBC: 4011
/
VERIFICATION OF INVENTORY MATERIALS (CCR: 2129.3)
1010009
/
VERIFICATION OF QUANTITIES (CCR:2129.4)
1010001
/
VERIFICATION OF LOCATION (CCR: 2128.2)
1010005
/
PROPER SEGREGATION OF MATERIAL (CFC'. 2104.1)
VERIFICATION OF SDS AVAILABILITY (CCR: 2120.2(3)(6))
VERIFICATION OF HAZ MAT TRAINING (CCR: 2132)
102002
VERIFICATION OF ABATEMENT SUPPLIES&PROCEDURES (CCR:2131(c))
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
1010010
/
CONTAINERS PROPERLY LABELED (CCR: S82B2.34(N, CFC: 2103.5)
3030001
HOUSEKEEPING (CFC: 304.1)
/
FIRE PROTECTION (CFC9(X1 & 806)
3:130032
SITE DIAGRAM ADEQUATE &ON HAND (CCR: P29.2)
1010005
NY HAZARDOUS WASTE ON SITE? YES ❑ NO
6ignalasersefligoiad
xplal n:
Inspector: 17f OI
POST r SPEC*11N'STR CTIONS:
• Correct the violations) noted above by
• Within 5 days of earrecting all ofthe violetlons, sign and eaum a copy of this page W:
Bakersfield Fire Dept, Prevention Services, 2101 H Sheat, California 93301
Vlhite—Prevmfian Services Yellow—Station Copy Pfk— Business Copy
,. i
Signature (chat all violin, s have been corrected as noted)
Date
FD2155 (Rev 312019)