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BAKERSFIELD FIRE DEPT.
UNIFIED PROGRAM INSPECTION CHECKLIST Prevention Services
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2101 H Street
b Bakersfield CA 93301
SECTION 1: Hazardous Materials Business Plan Tel.: 661 326-3979
Inspection Fax: (661) 852-2171
FACILITY NAME +
_ INSPECTION DATE INSPECTION TIME
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ADDRESS PHONE NO. NO OF EMPLOYEES
FACILITY CONTACT BUSINESS 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=Compl►ance OPERATION C E R S
V=violation; 1,11 Minor !Violation COMMENT
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ACTIVE HAZARDOUS MATERIALS PERMIT (BMC: 15.65.080)
3010001
+CERS INFORMATION ENTERED & UPDATED ANNUALLY (CCR: 2729.1)
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
CORRECT OCCUPANCY (CBC: 401)
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
VERIFICATION OF QUANTITIES (CCR: 2729.4)
VERIFICATION OF LOCATION (CCR: 2729.2)
PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b))
3210043
1010004
1010006
VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) 1020002
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) 10, 00, 0
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5) 3030007
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of CGS
C k 0L-'4P C 0- CAi- I<
HOUSEKEEPING (CFC:304.1)
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FIRE PROTECTION (CFC: 903 & 906)
- - - 3030032�
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
1010005 - to
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NY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO Si nature of Receipt
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Explain. -_
Inspector: year fn seCtlo CA
POST INSPECTION INSTRUCTIONS:
Correct the violation(s) noted above by 3141 t
• Within 5 days of correcting all of the violations, sign and return a copy of this page to: gnatu , C 11 uwl ttii�o�ns �a�ve been corrected as noted)
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301 C � .� �- r
Date Z_
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White - Business Copy Yellow - Station Copy Pink - Prevention Services
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K at Se I F 2155 (Rev 6/2021)