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UNIFIED PROGRAM INSPECTION CHECKLIST!
SECTION 1: Hazardous Materials Business Plan
Inspection
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326-3979
Fax: (661) 852-2171
FACILITY NAME _._
Pw o - y- fi e 4A) t
INSPECTIO_N DATE
2 /11
INSPECTION TIME
ADDRESS
3 13
PHONE NO.
NO OF EMPLOYEES
FACILITY CONTACT
BUSINESS ID NUMBER
Consent to Inspect Name/Title
I
Section 1: Business Plan and Inventory Program
❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI -AGENCY ❑ COMPLAINT ❑ RE -INSPECTION
C V = ompiance OPERATION
V=Violation; I, I I Minor
CERS
Violation
COMMENT
ACTIVE HAZARDOUS MATERIALS PERMIT (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
A A c
VERIFICATION OF QUANTITIES (CCR: 2729.4)
1010006Ct
a ��
VERIFICATION OF LOCATION (CCR: 2729.2)
0 0 \.10 A
PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
'
00
VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b))
VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
1020002
s
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
IV
y
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
1010010
�
A r_- C�
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5)
3030007
�
a`'„t s C6A;L d4150
HOUSEKEEPING (CFC: 304.1)
ar *I
FIRE PROTECTION 1 ., (CFC: 903 & 90
%t >
4{ f i Z d. s ,
3030032
sr
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
1010005
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO
SignatureofRecei t
r r'
Explain: "ca S C 0 _
aAA -
Inspector:
POST INSPECTION INSTRUCTIONS: 4
• Correct the violations noted above b -
O y
• 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 — Business Copy Yellow — Station Copy Pink — Prevention Services FD2155 (Rev 6/2021)
I'S