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BAKERSFIELD FIRE DEPT.
Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST
2101 H Street
Bakersfield, CA 93301
SECTION 1: Hazardous Materials Business Plan ' • ' Tel.: (661) 326-3979
Inspection Fax: (661) 852-2171
FACILITY NAME
Ile 1 ♦ �01 f
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INSPECTION DATE
.5/ & f 2 3
INSPECTION TIME
ADDRESS l
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f _67/
PHONE NO.
NO OF EMPLOYEES
FACILITY CONTACT
BUSINESS ID NUMBER
CONSENT TO INSPECT NAME/TITLE
l
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
14
CERS INFORMATION ENTERED & UPDATED ANNUALLY (CCR: 2729.1)
3210043
C r
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)2
CORRECT OCCUPANCY (CBC: 401)
0 CID 11
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
1010004
VERIFICATION OF QUANTITIES (CCR: 2729.4)
1010006
'
40-A,Q
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
/ C
14 raw
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5)
3030007
JX.
HOUSEKEEPING (CFC:304.1)
y Olk
J Cuu/'A -
d f
/ �t
FIRE PROTECTION (CFC: 903 & 906)
3030032
2/Z
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
1010005
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO
Signature of Receipt
Explain:
Inspector: f�"
POST INSPECTION INSTRUCTIONS:
• Correct the violations noted above b t' !
O Y -3
• 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)
J;�* I
S
White - Business Copy Yellow - Station Copy Pink - Prevention Services
Date
FD2155 (Rev 6/2021)