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BAKERSFIELD FIRE DEPT.
. Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST 6 2101HStreet
Bakersfield, CA 93301
SECTION 1: Hazardous Materials Business Plan ' ' ' Tel.: (661) 326-3979
Inspection ``�,,,..,/' Fax: (661) 852-2171
FACILITY NAME INSPECTION DATE INSPECTION TIME
C S Z 2
ADDRESS /131-0
PHONE NO. NO OF EMPLOYEES
FACILITY CONTACT BUSINESS ID NUMBER
I
CONSENT TO INSPECT NAME/TITLE
C
Section 1: Business Plan and Inventory Program
❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI -AGENCY ❑ COMPLAINT
V C=Compliance --- -OPERATION C E RS 1
V=Violation; I, I I Minor ' �Violation
ACTIVE HAZARDOUS MATERIALS PERMIT (BMC: 15.65.080) 3010001
CERS INFORMATION 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)
VERIFICATION OF QUANTITIES (CCR: 2729.4)
VERIFICATION OF LOCATION (CCR: 2729.2)
1010004
1010006
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))
1010010
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
❑ RE -INSPECTION
COMMENT
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5) 3030007
Se c v c e-
HOUSEKEEPING (CFC: 304.1) 5
X FIRE PROTECTION (CFC: 903 & 906)
3030032
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) 1010005
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO Si nature of Receipt
Explain:
Inspector: �" - ,IA.- *0rLk.-, -
POST INSPECTION INSTRUCTIONS:
• Correct the violation(s) noted above by o23,
• 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
White — Business Copy Yellow — Station Copy Pink — Prevention Services
n ti,s� rS
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7e r C FC C(d7�5
41
Signature (that all violations have been corrected as noted)
Date
FD2155 (Rev 6/2021)