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BAKERSFIELD FIRE DEPT,
UNIFIED PROGRAM INSPECTION CHECKLIST Prevention Services
Q 2101 H Street
•°q Bakersfield, CA 93301
SECTION 1: Hazardous Materials Business Plan • ' Tel.: (661) 326-3979
Inspection Fax: (661) 852-2171
FACILITY NAME
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INSPECTION DATE
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INSPECTION TIME
ADDRESS
g 112
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PHONE NO.
NO OF EMPLOYEES
FACILITY CONTACT
USINESS ID NUMBER
CONSENT TO INSPECT NAME/TITLE
Section 1: Business Plan and Inventory Program
❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI -AGENCY ❑ COMPLAINT ❑ RE -INSPECTION
C V C=Compliance OPERATION
V=Violation; 1,11 Minor
C E R S
Violation
COMMENT
ACTIVE HAZARDOUS MATERIALS PERMIT (BMC: 15.65.080)
3010001
CERS INFORMATION ENTERED & UPDATED ANNUALLY (CCR: 2729.1)
3210043
l j
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
*`
CORRECT OCCUPANCY (CBC: 401)
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
1010004
A �. us,j
VERIFICATION OF QUANTITIES (CCR: 2729.4)
1010006
1 ✓
1 5 0 • 5 V) 3
VERIFICATION OF LOCATION (CCR: 2729.2)
11 /JD 5 `_
PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
Dom- L)
VERIFICATION OF SIDS AVAILABILITY (CCR: 2729.2(3)(b))
f t �
VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
1020002
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
Va.det'4' j ,
do I Q
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
1010010
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5)
3030007
�� ast4 O� tCA
HOUSEKEEPING (CFC: 304.1)1K I
/='1 j
"X Us 4
5mig
FIRE PROTECTION (CFC: 903 & 906)
3030032
%
, !?
X
I SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
1010005
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO
Si nature of Receipt
Explain:
Inspector • I I/L/(, UVt_-_'
POST INSPECTION INSTRUCTIONS:
• Correct the violation(s) noted above by
3 2- 'P 7 -2
• 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)