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UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Hazardous Materials Business Plan
Inspection
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Y I
Bakersfield, CA 93301
• .. Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME
INSPECTION DATE
2,1 111-21
INSPECTION TIME
(A 1 vii'
1 -'
ADDRESS
PHONE NO.
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NO OF EMPLOYEES
�2,
Z 5- o Al S 1- t on e F, - <4(
- y It - 17
1010008
FACILITY CONTACT
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BUSINESS ID NUMBER
/? 4) 41,j, 'f 1A +"Cl I'
onsen to Inspect Name /Title
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 BMC: 15.65.080
3010001
L/
CERS INFORMATION ENTERED & UPDATED ANNUALLY (CCR: 2729.1)
1010008
V
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
L/
VERIFICATION OF LOCATION (CCR: 2729.2)
1010005
J
PROPER SEGREGATION OF MATERIAL ( CFC: 2704.1
VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b))
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)
V
FIRE PROTECTION (CFC: 903 & 906)
3030032
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
01,
1010005
NY HAZARDOUS WASTE ON SITE? El YES Poll NO
Si2nature of Receipt
Explain:
Inspector: y 4
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
White — Prevention Services Yellow — Station Copy Pink — Business Copy
Signature (that all violations have been corrected as noted)
Date
FD215 5 (Rev 3/2019)