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HMBP 4-25-22
UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Hazardous Materials Business Plan Inspection FACILITY NAME ADDRESS Ft 'zO S• UN lo -0 AvF,,.v FACILITY CONTACT CONSENT TO INSPECT,,NAMF/TITLE , BAKERSFIELD FIRE DEPT. Prevention Services 2101 H Street Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 852-2171 INSPECTION DATE INSPECTION TIME q1 jtj, PHONE NO. NO OF EMPLOYEES j BUSINESS ID NUMBER /'t; -©7J- c-31 �Z9I6 Section 1: Business Plan and Inventory Program ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI -AGENCY ❑ COMPLAINT ❑ RE -INSPECTION C V C=Compliance OPERATION CER S V=`✓iolation; 1,11 Minor l V i o l a t i o n COMMENT ACTIVE HAZARDOUS MATERIALS PERMIT (BMC: 15.65.080) 3010001 CERS INFORMATION ENTERED & UPDATED ANNUALLY (CCR: 2729.1) 3210043 a VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) CORRECT OCCUPANCY (CBC: 401) •� VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) 1010004 K5 Fuji.,it-mu VERIFICATION OF QUANTITIES (CCR: 2729.4) II'S 1010006 DOC, 110 AN -0 y VERIFICATION OF LOCATION (CCR: 2729.2) �4 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) 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? ❑ YES ❑ NO i nature of Receipt Explain: Inspector:_ 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: Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301 'A'hite -- Business Copy Yellow — Station Copy Pink — Prevention Services Signa ure (that all violations have been corrected as noted) Date FD2155 (Rev 6/2021)