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1218 Stine RdHMBP3-2-21
GAS UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Hazardous Materials Business Plan Insaection BAKERSFIELD FIRE DEPT. Prevention Services 2101 H Street Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FAC ITY NAME 6'. T `s © - C), �ON � TIME F3 v APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) ADDRESS 1 0 PHONE NO. NO OF EMPLOYEES FACILITY CONTACT USINESS ID NUMBER 'onsent to Inspect Name/ I itle Section 1: Business Plan and Inventory Program Q' 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 (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) 1010004 VERIFICATION OF LOCATION (CCR: 2729.2) 1010005 No/ PROPER SEGREGATION OF MATERIAL (CFC: 2704.1) JVERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b)) VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) 1020002 VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c)) / V EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) 1010010 CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5) 3030007 HOUSEKEEPING (CFC: 304.1) FIRE PROTECTION (CFC: 903 & 906) 3030032 SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) 1010005 ANY HAZARDOUS WASTE ON SITE? ❑ YES NO Si2nature of Receipt NkatlA%6C d rN- � Explain: ` Inspector: 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: Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301 Signature fthat all,violations have been corrected as noted) 4,-4 /04�w_ Z-1 Date Nk'hite — Prevention Sen,'ices Yellow — Station Copy Pink — Business Copy FD2155 (Rev 3/2019)