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UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Hazardous Materials Business Plan
Inspection
BAKERSFIELD FIRE DEPT.
Prevention Services
_ 2101 H Street
I Orr
� Bakersfield, CA 93301
• Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME C ..
'j
INSPECTION DATE
L
INSPECTION TIME
ADDRESS I ,.
lov'k 1.
PHONE NO.
(jL,I - L4t-1-1 -779
NO OF EMPLOYEES
FACILITY CONTACT
.�, 'S ftA14
BUSINESS ID NUMBER
1-5-()-7 '1 LN I L `"I �j
Consent to Inspect Name /Title
�64"
Section 1: Business Plan and Inventory Program
❑ ROUTINE COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V C= Compliance OPERATION
V= Violation; I, I I Minor
C E R S
Violation
C O M M E N T
� .
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
'
y
VERIFICATION OF LOCATION (CCR: 2729.2)
1010005
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))
Y
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
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SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
1010005
NY HAZARDOUS WASTE ON SITE? YES ❑ NO
Si2nature of Receipt
Explain: �ftSI—E C
i
Inspector: - . i "J r T " _dj
POST INSPE ION 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
V4 hite — Prevention Services Yellow — Station Copy Pink — Business Copy
Signature (that all violations have been corrected as noted)
Date
FD2155 (Rev 312019)