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BAKERSFIELD FIRE DEPT.
Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST ti - 2101 H Street
1 �p�
Bakersfield, CA 93301
SECTION 1: Hazardous Materials Business Plan ' ' Tel.: (661) 326-3979
Inspection Fax: (661) 852-2171
FACILITY NAME
e
ADDRESS
90,
FACILITY CONTACT
ONSENT TO INSPECT NAME/TITLE
❑ ROUTINE
/Y-s
NSPECTION DATE INSPECTION TIME
SHONE NO. NO OF EMPLOYEES
3USINESS ID NUMBER
Section 1: Business Plan and Inventory Program
❑ COMBINED ❑ JOINT AGENCY ❑ MULTI -AGENCY El COMPLAINT ❑ RE -INSPECTION
C V C=Compliance OPERATION
V=Violation; I, I I Minor
ACTIVE HAZARDOUS MATERIALS PERMIT (BMC: 15.65.080)
C E RS
Violation
COMMENT
3010001
CERFORMATION ENTERED & UPDATED ANNUALLY (CCR: 2729.1)
3210043
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
CORRECT OCCUPANCY (CBC: 401)
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
1010004
VERIFICATION OF QUANTITIES (CCR: 2729.4)
1010006
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)
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5)
1010010
3030007
HOUSEKEEPING (CFC: 304.1)
FIRE PROTECTION (CFC: 903 & 906)
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
3030032
1010005
f 0 3/za Q� _ ze I.-,
ANY HAZARDOUS WASTE ON SITE? ES ❑ NO
Si nature of Recei t
Explain:
r i" YeCk 1r tit'
[
Inspector: Y""'. • 0-11 3
r(42 — 3 12 L/
POST INSPECTION INSTRUCTIONS: 2
• Correct the violation(s) noted above by 07 ` 3 ' ,r?
• 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)
White — Business Copy Yellow — Station Copy Pink — Prevention Services
Date
FD2155 (Rev 6/2021)