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BAKERSFIELD FIRE DEPT.
UNIFIED PROGRAM INSPECTION CHECKLIST Prevention Services
i i2101 H Street
SECTION 1. Hazardous Materials Business Plan Bakersfield, CA 93 301
Inspection Tel.: (661) 326-3979
Fax: (661) 852-2171
FACILITY NAME
/•�;; � j /� INSNECTION DATE 'INSPECTION TIME
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ADDRESS
��w PHONE NO. NO OF EMPLOYEES
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FACILITY CONTACT
BUSINESS ID NUMBER
CONSENT TO INSPECT NAME/TITLE
Section 1: Business Plan and Inventory Program
❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI -AGENCY ❑ COMPLAINTRE-INSPECTION
❑ RE INSPECTION
C V C=Compliance OPERATION CERS
V=Violation;
1,11 Minor Violation COMMENT
A7ACTIVE
HAZARDOUS MATERIALS PERMIT (BMC: 15.65.080)
3010001
CERS INFORMATION ENTERED & UPDATED ANNUALLY (CCR: 2729.1)
321004331—
_
2-
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
. ...........
A C 9-
CORRECT OCCUPANCY (CBC: 401)
ree b
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
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)_T
3030032
/6 Zw
:iz-
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
1010005
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO SionatureofRecei pV
Explain:
4 'P 'r L, n A
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Inspector: j
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POST INSPECTION INSTRUCTIONS: - - t
Correct the violation(s) noted above by
• Within 5 days of correcting all of the violations, sign and return a co of this page to: ,
copy P g 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 6/202 l )