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UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Hazardous Materials Business Plan
Inspection
FACILZ-Y NAME
&5 N
ADDRESS
FACILITY CONTACT
Consent to Inspect Name /Title
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
c� Bakersfield, CA 93301
• .. Tel.: (661) 326 -3979
Fax: (661) 852 -2171
INSPECTION DATE INSPECTION TIME
'PHONE NO. NO OF EMPLOYEES
7 i �:
USINESS ID NUMBER
a32°t0
Section 1: Business Plan and Inventory Program)
1Y ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
I
C V C= Compliance OPERATION
V= violation; I, I I Minor
CERS
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
VERIFICATION OF LOCATION (CCR: 2729.2)
1010005
PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
VERIFICATION OF SIDS AVAILABILITY (CCR: 2729.2(3)(b))
VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
1020002
✓
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
Vol"
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
f�
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
1010 05
c
i
Pf
ANY HAZARDOUS WASTE ON SITE? ❑ YES NO
i ture of Recei
Explain:
Inspector: G-
POST INSPECTION INSTRliCTIONS:
• 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)