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UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Hazardous Materials Business Plan
Inspection
BAKERSFIELD FIRE DEPT,
Prevention Services
2101 H Street
09 Bakersfield, CA 93301
• .. Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME
Bw�cqu_r'lj M'd
S �4 bi
INSPECTION DATE
//7 1
INSPECTION TIME
ADDRESS
Ut G o o
W le i.
PHONE NO.
6k,;-3('y_qq7?_
NO OF EMPLOYEES
i �I
FACILITY CONTACT
ce) ON f
1010008
0
BUSINESS ID NUMBER
oe-1
,,Consent to Inspect Name /Title
I ,
CORRECT OCCUPANCY (CBC: 401)
Section 1:
Business Plan and Inventory Program
,Di( ROUTINE ❑
COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V C= Compliance OPERATION
V= Violation; 1,11 Minor
C ERS
Violation COMMENT
APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
3010001
�A
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 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)
FIRE PROTECTION (CFC: 903 & 906)
3030032
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
1010005
ANY HAZARDOUS WASTE ON SITE? n YES ❑ NO
ionature of Recei t
Explain: f) 1 o f I �f &'7 S
Inspector: _ to If S
POST INSP CTION 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
r /
Signature (that all violations have been corrected as noted)
Date
FD2155 (Rev 3/2019)