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Home My WebLink About9700 PANAMA_RITE AID_HMBP 2.6.23RM 5 / C ER-5 vo' FACILITY ADDRES FACILITY CONSENT BAKERSFIELD FIRE DEPT UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Hazardous Materials Business Plan Inspection NAME � ! /2`� S C� CONTACT ' TO INSPECT NAME/TITLE s" Section 1: Business Plan and Inventory Program El ROUTINE ❑ COMBINED El JOINT AGENCY ❑ MULTI -AGENCY El COMPLAINT ❑ RE -INSPECTION Prevention Services � b9 2101 H Street Bakersfield, CA 93301 ' Tel.: (661) 326-3979 Fax: (661) 852-2171 INSPECTION DATE INSPECTION TIME PHONE NO. NO OF EMPLOYEES BUSINESS ID NUMBER C V C=Compliance OPERATION CERS v=Violation; 1,11 Minor Violation' COMMENT ACTIVE HAZARDOUS MATERIALS PERMIT (BMC: 15.65.080) 3010001 CERS INFORMATION ENTERED & UPDATED ANNUALLY (CCR: 2729.1) 3210043 _ 3 (CFC: 505.1, BMC: 15.52.020) V VISIBLE ADDRESS ''� �� 4 t r tA 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 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 � 3 Z 'Z SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) 1010005 ! 'AA NY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO i nature of Recei t �/ Explain: Inspector: rV1 &4j," Q POST INSPECTION INSTRUCTIONS: _ 2 3 • 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 White — Business Copy Yellow — Station Copy Pink — Prevention Services I fT& Signature (that all violations have been corrected as noted) Date FD2155 (Rev 6/2021) Explain: Inspector: rV1 &4j," Q POST INSPECTION INSTRUCTIONS: _ 2 3 • 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 White — Business Copy Yellow — Station Copy Pink — Prevention Services I fT& Signature (that all violations have been corrected as noted) Date FD2155 (Rev 6/2021)