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UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Hazardous Materials Business Plan �!�i�+
Inspection
FACILITY NAME
FACILITY CONTACT
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fan: (661) 852 -2171
NSP CTWN ATE
! �' 7 i
NSPECTION TIME
HONE NO
0 O EMPLOYEES
USINESS IU NUMBER
ROUTINE
C V =P'a"w OPERATION
V- Vldallon: 1,11 Mina,
CERS
Violation
n
Section 1: Business Plan and Inventory Program
ROUTINE
❑
COMBINED ❑ JOINTAGENCY ❑ MULTI-AGENCY ❑ COMPLAINT
❑
RE INSPECTION
C V =P'a"w OPERATION
V- Vldallon: 1,11 Mina,
CERS
Violation
n
COMMENT
APPRQPBIATEPERWTONHAND IONIC: 16.65.080
3010001
ER$�FORMATION ENTERED UPDAT ED ANNUALLY (CCR:2729.1)
3210043
-
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
CORRECTOCCUPANCY (CBE: 401)
V
VERIFICATION OF INVENTORY MATERIALS (OCR: 2]293)
1010004
.0
VERIFICATION OF OUANTITIES (OCR: 2]29.4)
1010008
U ( 3
VERIFICATION OF LOCATION (CCR: 27292)
✓
PROPER SEGREGATION OF MAMMAL (CFC: 2704.1)
VERIFICATION OF SOS AVAILABILITY (CCR: 2729.2(3ho)
VERIFICATION OF HAZ MAT TRAINING (OCR: 2732)
1020002
VERIFICATION OFAHATEMENT SUPPLIES &PROCEDURES (CCR:2731(c))
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731
1010010
/I
C(�L OP�nC�LY Ip,�rI4 4.
IV
CONTAINERS PROPERLY LABELED (CCR: 88282.34(0, CFC: 270 &6)
30.90007
HOUSEKEEPING (CFC: 304.1
FIRE PROTECTION (CFC: 903 &908)
WM32
)C I(P 2
$RE DV GRAM ADEOUATE8 ON HAND (CCR: 2929.2)
1010005
ANY HAZARDOUS WASTE ON SITE? ❑ YES LT NO
6 1 [ I j
Explain:
lie'etor. % U • rK m/C—
POST INSPECTION INSTRUCTIONS:
• Como the violafim(s) noted above by
• Within 5 days of coioeeting aR of the violations, sign a'M'dutn a ropy of N, Page to:
Ba&enfleld Fire Dept., Prevention Services, 2101 H Shein. CaOfonva 93301
Signature Nis all viclatons have been correeted as noted)
Dare
W ite- Business Copy Yellow - Station COO Piok- Prevention Services FD2155 (Rev %a017)
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