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UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Hazardous Materials Business Plan
Inspection
FACILITY NAME
ADDRESS
197-0 2,�Q -n-1
CA Ci:�ao I
FACILITY CONTACT' r'
onsent to Inspect Name/Title
BAKERSFIELD FIRE DEPT.
Prevention Services
"10 1. H Street
Bakersfield, CA 93301
Tel.: (66 1) 326-3979
Fax: (661) 852-2171
NSPECTION DATE INSPECTION TIME
'HONE NO. NO OF EMPLOYEES
3USINESS ID NUMBER
n -V (06
Section 1: Business Plan and Inventory Program
❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI -AGENCY ❑ COMPLAINT ❑ RE -INSPECTION
C V G=c;omplfance
OPERATION
V=Violation; I, I I Minor
C E R S
Violation
#
COMMENT
APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
3010001
CERS INFORMATION ENTERED & UPDATED ANNUALLY (CCR: 2729.1)
1010008
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
CORRECT OCCUPANCY (CBC: 401)
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
1010004
VERIFICATION OF QUANTITIES (CCR: 2729.4)
VERIFICATION OF LOCATION (CCR: 2729.2)
PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
1010004
1010005
VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b))
VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
1020002
.01
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR -.2731(c))
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
1010010
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5)
3030007
V/
HOUSEKEEPING (CFC: 304.1)
FIRE PROTECTION (CFC: 903 & 906)
3030032
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
NY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO
1010005
Si2nature of Receipt
Explain:
r
Inspector: t% P N. W,
POST INSPECTION INSTRUCTIONS:
• Correct the violation(s) noted above by
• Within 5 days of correcting all of the violations, sign and return a copy of this page to: Signature that all violations have been corrected as noted)
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
Date
White — Prevention Services Yellow Station Copy Pink — Business Copy
FD2155 (Rev 3/2019)