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—� BAKERSFIELD FIRE DEPT,
UNIFIED PRO( INSPECTION CHECKLIST Pree vntin oS
Gervices
2101 H Street
° SECTION 1: Hazardous Materials Business Plan ' � � Tel.: 661 Bakersfield,
CA 93301
326-3979
( )
Inspection Fax: (661) 852-2171
FACILITY NAME INSPECTION DATE INSPECTION TIME
Q Ile -
ADDRESS PHONE NO. NO OF EMPLOYEES
55 %►f'L" ff
FACILITY CONTACT ``9` BUSINESS ID NUMBER
A LA, V*1 a
04
CONSEW TO INSPECT NAME/TITLE t
ff
41 Section 1: Business Plan and Inventory Program
❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI -AGENCY ❑ COMPLAINT ❑ RE -INSPECTION
C V C=Compliance OPERATION
V=violation; 1,11 Minor
C E R S
Violation
COMMENT
ACTIVE HAZARDOUS MATERIALS PERMIT (BMC: 15.65.080)
CERS INFORMATION ENTERED & UPDATED ANNUALLY (CCR: 2729.1)
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
3010001
3210043
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)
se8
4
. :�'
VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b))
VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
1020002
P
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
�` r
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
10100102j�
V
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5)
3030007
HOUSEKEEPING (CFC: 304.1)
FIRE PROTECTION (CFC: 903 & 906)�
3030032
GLC 2 %
I S&,(
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
1010005
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO
Si nature ofRecei !/ �-
Explain:
Inspector: V(^ V
POST INSPECTION INSTRUCTIONS:
• Correct the violation(s) noted above by 6-3 '02
• 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
Signature (that all violations have been corrected as noted)
Date
FD2155 (Rev 6/2021)