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BAKERSFIELD FIRE DEPT.
UNIFIED PROGRAM INSPECTION CHECKLIST
Prevention Services
2101 H Street
SECTION 1: Hazardous Materials Business Plan Bakersfield,
CA 93301
' � Tel.: (661) 326-3979
Inspection Fax: (661) 852-2171
FACILITY NAME INSPECTION DATE INSPECTION TIME
ADDRESS Al +0 C J oj e_ / PHONE NO. NO OF EMPLOYEES
FACILITY CONTACT BUSINESS ID NUMBER
CONSENT TO INSPECT NAME/TITLE
T. a
Section 1: Business Plan and Inventory Program
❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI -AGENCY ❑ COMPLAINT ❑ RE -INSPECTION
C V C=Compliance OPERATION
C E R S
V=Violation; I, I I Minor
Violation
COMMENT
ACTIVE HAZARDOUS MATERIALS PERMIT (BMC: 15.65.080) i
3010001
CERS INFORMATION ENTERED & UPDATED ANNUALLY (CCR: 2729.1)
3210043
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P
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VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
� A
/I � �
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CORRECT OCCUPANCY (CBC: 401)
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
1010004
VERIFICATION OF QUANTITIES (CCR: 2729.4)
1010006
AJJ 912�:l
5vJ
VERIFICATION OF LOCATION (CCR: 2729.2)
�
tj R.
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)
AFIRE PROTECTION (CFC: 903 & 906)
3030032
"
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
1010005
11511
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO Signature of Recei t
Explain:
Inspector: - f V! '-�fZ�
POST INSPECTION INSTRUCTIONS: t
• 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 6/2021)