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UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Hazardous Materials Business Plan
Inspection
�F P ARC
BAKERSFIELD FIRE DEPT,
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME
C E R S
Violation
INSPECTI N DATE
INSPECTION TIME
&�l A 01
114 i4a
V1 I
ADDRESS
'7v
PHONE NO.
NO OF EMPLOYEES
1
b
(471 - �� t- 0�3 I
q
FACILITY CONTACT
r
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BUSINESS ID NUMBER
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t
Cj 8: L4
Consent to Inspect Name /Title f
I f
1010004
Section 1: Business Plan and Inventory Program
J` 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)
_Vr
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
II
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? OYES ❑ NO
ign a of Recei
Explain:
Inspector: ' ' Col
POST INSPEC 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 93.301
Signature (that all violations have been corrected as noted)
Date
`N''hite — Prevention Services Yellow — Station Copy Pink — Business Copy FD2155 (Rev 3/2019)