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BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
UNIFIED PROGRAM INSPECTION CHECKLIST ao� Bakersfield, CA93301
Tel.: (661) 326-3979
SECTION 1: Hazardous Materials Business Plan Fax: (661) 852-2171
Inspection
FACILITY NAME IN PECTION DATE INSPECTION TIME
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ADDRESS elk.,
PH NE NO. NO OF EMPLOYEES
FACILITY CONTACT BUSINESS ID NUMBER
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(Consent to Inspect Name/Title
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Section 1: Business Plan and Inventory Program
I ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI -AGENCY ❑ COMPLAINT ❑ RE -INSPECTION
C u c=Compliance OPERATION
V=Violation; 1,11 Minor
C E R S
Violation COMMENT
APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
3010001
CERS INFORMATION ENTERED & UPDATED ANNUALLY (CCR: 2729.1)
1010008
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)
1010004
VERIFICATION OF LOCATION CCR: 2729.2
( )
1010005
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(fl, CFC: 2703.5)
3030007
HOUSEKEEPING (CFC: 304.1)
FIRE PROTECTION (CFC: 903 & 906)
3030032
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
1010005
,ANY HAZARDOUS WASTE ON SITE? ❑YES ❑ NO
IgnatureofReceipt
!Explain:
Inspector: 6.�err
POST INSPECTION INSTR TIONS:
• 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: Si;Lnature (that all violations have been corrected as noted)
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
Date
White — Prevention Services Yellow — Station Copy Pink — Business Copy FD2155 (Rev 3/2019)