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BAKER3FIELD FIRE DEFT.
Prevention Services
H A -K g R s P! -L&L—° 2101 H Street
UNIFIED PROGRAM INSPECTION CHECKLIST PARTMENT Bakersfield, CA 93301
Tel.: (661) 326-3979
SECTION 1: Hazardous Materials Business Plan � Fax: (661) 852-2171
FACILITY NAME Insion INSPECTION DATE INSPECTION TIME
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ADDRESS PHONE NO. NO OF EMPLOYEES
BUSINESS ID NUMBER
FACILITY CONTACT02ml C"20- . (�
Consent to Inspect Name/Title
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Section 1: Business Plan and Inventory Program go
❑ ROUTINE ❑ COMBINED ❑JOINT AGENCY ❑ MULTI -AGENCY ❑ COMPLAINT ❑ RE -INSPECTION
C V = ompiance OPERATION
V=violation; 1,11 Minor
APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
CERS
Violation
COMMENT
3010001
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
1010008
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
CORRECT OCCUPANCY (CBC: 401) 1
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
VERIFICATION OF QUANTITIES (CCR: 2729.4)
1010004
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)
3030032
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO
1010005
SignatureofRecei t
Explain:
Inspector: ! ! t o t C., V%
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 8H14)