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UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Hazardous Materials Business Plan
Inspection
BAKERS FIELD FIRE DEPT.
Prevention Services
2101 H Street
n� Bakersfield, CA 93301
• Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME INSPECTION DATE 1NSPECTION TIME
)VI D�re . -�� �,
ADDRESS PHONE NO. NO OF EMPLOYEES
of ie..rra!!�e
FACILITY CONTACT USINESS ID NUMBER
Consent to Inspect Name /Title
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Section 1: Business Plan and Inventory Program
� ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V C= Compliance OPERATION
V= violation; 1,11 Minor
C E R S
Violation COMMENT
APPROPRIATE PERMIT ON HAND g
( MC. 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)
v
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
1010004
VERIFICATION OF QUANTITIES (CCR: 2729.4)
1010004
Ce
VERIFICATION OF LOCATION (CCR: 2729.2)
1010005
%
PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b))
G
VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
1020002
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
HOUSEKEEPING (CFC: 304.1)
i
FIRE PROTECTION (CFC: 903 & 906)
3030032
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
1010005
NY HAZARDOUS WASTE ON SITE? YES ❑ NO Signature of Receipt
xplain:
Inspector: e POST INS C ION I , R CTIONS:
• Correct the viola n(s) noted above by p�
• Within 5 days of correcting all of the violations, sign and return a copy of this page to: Signature (that all violations h /e beA 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)