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UNIFIED PROGRAM I14SPECTION CHECKLIST
SECTION 1: Hazardous Materials Business Plan
Inspection
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
t 6
Bakersfield, CA 93301
Tel.: (661) 326-3979
Fax: (661) 852-2171
FACILITY NAME
a
INSPECTION DATE
3 -2q - 'e_�
INSPECTION TIME
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=Compliance OPERATION
C E R S
V=violation; 1,11 Minor
Violation
COMMENT
ACTIVE HAZARDOUS MATERIALS PERMIT (BMC: 15.65.080)
3010001
V
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)
1010004
C/c/ c�
VERIFICATION OF QUANTITIES (CCR: 2729.4)
1010006
'
4 dd �cd
1
511 e of
V,,
VERIFICATION OF LOCATION (CCR: 2729.2)
L s
PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
tAe&3 ell
� j
1 �
}A C7 9a. t Lk
41
VERIFICATION OF SIDS AVAILABILITY (CCR: 2729.2(3)(b))
L
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)
FIRE PROTECTION (CFC: 903 & 906)
3030032
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
1010005
_
40
'L- X t ' �l
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO
Signatureof Recthipt
Explain:
Inspector: VL y2!z
�"�
POST INSPECTION INSTRUCTIONS '/,19
, f
• Correct the violation(s) noted above by 7
• 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)
��s
White — Business Copy Yellow — Station Copy Pink — Prevention Services
Date
FD2155 (Rev 6/2021)