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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
InCnpr-tine
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
kGU7-tjc k Y FA W r- CJe E#J C 76CO 70
ADDRESS
PHONE NO.
NO OF EMPLOYEES
CERS INFORMATION ENTERED & UPDATED ANNUALLY (CCR: 2729.1)
FACILITY CONTACT
BUSINESS ID NUMBER
Consent to Inspect Name/Title VV)
l f
1
Section 1: Business Plan and Inventory Program
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI -AGENCY ❑ COMPLAINT ❑ RE -INSPECTION
C v C=Gompliance OPERATION
CERS
V=Violation; I, I I Minor "
Violation COMMENT
ACTIVE HAZARDOUS MATERIALS PERMIT (BMC: 15.65.080)
3010001
CERS INFORMATION ENTERED & UPDATED ANNUALLY (CCR: 2729.1)
1010008
UMQ-VE
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
A 7jp7J DLhE i_Aj
~
CORRECT OCCUPANCY (CBC: 401)
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
1010004
VERIFICATION OF QUANTITIES (CCR: 2729.4)
1010006
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
V I
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
—
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5)
1010010
3030007
W/o -
—
HOUSEKEEPING (CFC: 304.1)
FIRE PROTECTION (CFC: 903 & 906)
3030032
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
1010005
ANY HAZARDOUS
WASTE ON SITE? ❑YES ❑ NO
i nature of
R e' t
Explain:
Inspector:f�'"'
POST INSPECTION 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 (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)