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BAKERSFIELD FIRE DEPT.
•
UNIFIED PROGRAM INSPECTION CHECKLIST Prevention Services
2101 H Street
Bakersfield, CA 93301
SECTION 1 : Hazardous Materials Business Plan ' • Tel.: (661) 326-3979
Inspection Fax: (661) 852-2171
FACILITY NAME
ADDRESS
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FACILITY CONTACT
ONSENT TO INSPECT NAME/TITLE
NSPECTION DATE JINSPECTION TIME
HONE NO. NO OF EMPLOYEES
USINESS ID NUMBER
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)
CERS INFORMATION ENTERED & UPDATED ANNUALLY (CCR: 2729.1)
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
3010001
3210043
/,7612 / d l f
CORRECT OCCUPANCY (CBC: 401)
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
VERIFICATION OF QUANTITIES (CCR: 2729.4)
1010004
36') .r) " ' d s
1010006
-
'P
VERIFICATION OF LOCATION (CCR: 2729.2)
PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
rt-
VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b))
1020002
VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5)
1010010
3030007
ip [
_b tN �l
HOUSEKEEPING (CFC: 304.1)
FIRE PROTECTION (CFC: 903 & 906)
3030032SITE
1010005
DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO
Explain:
Signature of Receipt
r
Inspector: Y�4 117)0 11.9
POST INSPECTION INSTRUCTIONS:
• Correct the violation(s) noted above by 3 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)
Date
White -- Business Copy Yellow — Station Copy Pink — Prevention Services
FD2155 (Rev 6/2021)