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BAKERSFIELD FIRE DEPT
UNIFIED PROGRAM INSPECTION CHECKLIST Prevention Services
A'`;� 2101 H Street
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SECTION 1: Hazardous Materials Business Plan Bakersfield, CA93301
Tel.: (661) 326-3979
Inspection Fax: 661 8 - ( ) 52 2171
FACILITY NAME
ADDRESS 7
FACILITY CONTACT
:t jj C ti/
CONSENT TO INSPECT NAME/TITLE
C R Z Z -/
611,
NSPE TION DATE INSPECTION TIME
/ / / /07
'HONE NO. NO OF EMPLOYEES
WSINESS ID NUMBER
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; I, I I Minor Violation COMMENT
ACTIVE HAZARDOUS MATERIALS PERMIT (BMC: 15.65.080) 3010001
CERS INFORMATION ENTERED & UPDATED ANNUALLY (CCR: 2729.1) 3210043I q L
/ — - Z
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
OJA .5 , dew
CORRECT OCCUPANCY (CBC: 401)
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) 1010004
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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)
1010010
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5) 3030007or
01
HOUSEKEEPING (CFC: 304.1) `-
FIRE PROTECTION (CFC: 903 & 906)
3030032
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)1
1010005
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO Sii nature ofReceipt
Explain: ----------------- ---— ——-1--
Inspector: /ItA' �(Q
POST INSPECTION INSTRUCTIONS:
• Correct the violation(s) noted above by
• Within 5 days of correcting all of the violations, sign and return a copy of this page to: Signature (that all violations have been corrected as noted
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301 )
Date
White -- Business Copy Yellow — Station Copy Pink — Prevention Services FD2155 (Rev 6/2021)