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l"� BAKERSFIELD FIRE DEPT.
U Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST 2101 H Street
Bakersfield, CA 93301
SECTION 1: Hazardous Materials Business Plan Tee.: (661) 326-3979
Inspection Fax: (661) 852-2171
FACILITY NAME � v600l�INSPECTION DATE INSPECTION TIME
;�-17-�.
ADDRESS � HONE NO. NO OF EMPLOYEES
76
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FACILITY CONTACT
CONSENT TO INSPECT NAME/TITLE
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Section 1: Business PI
93/ YROUTINE ❑ COMBINED ❑ JOINT AGENCY rION
1
C u C=Compliance OPERATION
V=Violation; 1,11 Minor
ACTIVE HAZARDOUS MATERIALS PERMIT (B
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CERS INFORMATION ENTERED & UPDATED ANNUALLY
VISIBLE ADDRESS (CFC: 505.1, BI\
CORRECT OCCUPANCY _ ! r-,-J 6 7
(CCR: 2729.3) 1010004
tiff V
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(CCR:2729.4) 1010006
VERIFICATION OF INVENTORY MATERIALS
VERIFICATION OF QUANTITIES
VERIFICATION OF LOCATION
PROPER SEGREGATION OF MATERIAL
VERIFICATION OF SIDS AVAILABILITY
(CCR: 2729.2)
(CFC: 2704.1) Q J 1 p�
Syr,..
(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
1 -
HOUSEKEEPING (CFC: 304.1)
F I RE PROTECTION (CFC: 903 & 906)' 3030032
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) 1010005
NY HAZARDOUS WASTE ON SITE? ❑ YES �'N0 Si nature ofReceipt e'd
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xplain:
Inspector:y A • r
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
Signature (that all violations have been corrected as noted)
Date
White — Business Copy Yellow — Station Copy Pink — Prevention Services
FD2155 (Rev 6, 2021)