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UNIFIED PROGRAM INSPECTION CHECKLIST ; bo
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
CER S
Violation' COMMENT
3010001
INSPECTION DATE INSPECTION TIME
ACTIVE HAZARDOUS MATERIALS PERMIT (BMC: 15.65.080)
ADDRESS
4/0
CERS INFORMATION ENTERED & UPDATED ANNUALLY (CCR: 2729.1)
PHONE NO. NO OF EMPLOYEES 1
2 �-
D� r
FACILITY CONTACT
'BUSINESS ID NUMBER
Consent to Inspect Name/Title
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
1010004
1010006
Section 1: Business Plan and Inventory Program
❑ ROUTINE
❑ COMBINED ❑ JOINT AGENCY ❑ MULTI -AGENCY ❑
COMPLAINT ❑ RE -INSPECTION
C V `'_`'""'""�"�� OPERATION
V=Violation;1,11 Minor
CER S
Violation' COMMENT
3010001
ACTIVE HAZARDOUS MATERIALS PERMIT (BMC: 15.65.080)
CERS INFORMATION ENTERED & UPDATED ANNUALLY (CCR: 2729.1)
1010008
2 �-
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
CORRECT OCCUPANCY (CBC: 401)
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
1010004
1010006
VERIFICATION OF QUANTITIES (CCR: 2729.4)
VERIFICATION OF LOCATION (CCR: 2729.2)
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)
HOUSEKEEPING (CFC: 304.1)
3030007
FIRE PROTECTION (CFC: 903 & 906)
3030032
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
1010005
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO
FYnInin-
SignatureofRecei t
Inspector:_O_ e �e W�., Qonv�
POST INSPECTION INSTRUCTIONS: :" 'A
s • Correct the violation(s) noted above by
• y 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 — Business Copy Yellow — Station Copy Pink — Prevention Services
_r
7 1
Signature (that all violations have been corrected as noted)
Date
FD2155 (Rev 6/2021)