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BAKERSFIELD FIRE DEPT,
Prevention Services
2101 H Street
UNIFIED PROGRAM INSPECTION CHECKLIST Bakersfield, CA 93301
Tel.: (661) 326 -3979
SECTION 1: Hazardous Materials Business Plan Fax: 661 852 -2171
Inspection
FACILITY NAME �. INSPECTION DATE INSPECTION TIME
ADDRESS PHONE NO. NO OF EMPLOYEES
8�L17_ 5. 0 1_1 0
FACILITY CONTACT BUSINESS ID NUMBER 14 5 Z o �t o
;Consent to Inspect Name /Title (Aer lioso 6) -6 ?6
1 �
Section 1: Business Plan and Inventory Program
❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V C= Compliance OPERATION
C E R'S
V= Violation; 1,11 Minor
Violation
COMMENT
APPROPRIATE PERMIT ON HAND (BMC: 15.65.080 )
3010001
CERS INFORMATION ENTERED & UPDATED ANNUALLY (CCR: 2729.1)
i 1010008
j
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
i
IA
CORRECT OCCUPANCY (CBC: 401)
i
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
1010004
VERIFICATION OF QUANTITIES (CCR: 2729-4);
1
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))
V.-Ir
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? - [9. YES ❑ NO
I
Si2nature of Recei t
Explain: � i t It ,
Inspector: ' i s ( 6 i r_ \�
POST INSP C�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: Signature (thk all viola 'ons ve been corrected as noted)
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301 V
Date 00 � _A_
White — Prevention Services Yellow — Station Copy Pink — Business Copy FD2155 (Rev 3/2019)