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BAKERSFIELD FIRE DEPT.
UNIFIED PROGRAM INSPECTION CHECKLIST - Prevention Services
2101 H Street
SECTION 1: Hazardous Materials B � Bakersfield, CA 93 301
usiness Plan ` ' ' Tel.: (661) 326-3979
Inspection Fax: (661) 852-2171
FACILITY NAME � INSPECTION DATE INSPECTION TIME
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ADDRESS / 3 PHONE NO. NO OF EMPLOYEES
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FACILITY CONTACT BUSINESS ID NUMBER
CONSENT TO INSPECT NAME/TITLE
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Section 1: Business Plan and Inventory Program
❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI -AGENCY ❑ COMPLAINT ❑ RE -INSPECTION
C v C=Compliance OPERATION
C E RS
V=Violation; 1,11 Minor
Violation
COMMENT
ACTIVE HAZARDOUS MATERIALS PERMIT (BMC: 15.65.080)
3010001
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E 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
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0 5kJ 0a.,
VERIFICATION OF QUANTITIES (CCR: 2729.4)
1010006j4'r
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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)
3030007
HOUSEKEEPING (CFC: 304.1)
FIRE PROTECTION (CFC: 903 & 906)
3030032
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SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
1010005
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO SignatureofRecei t
Explain :� 4l - r,
f '^"- ` 1<. I-P -f i s -� r t C 96 3.
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Inspector: L,
POST INSPECTION INSTRUCTIONS:
• Correct the violation(s) noted above by
V 3
• 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)
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White — Business Copy Yellow — Station Copy Pink — Prevention Services
Date
FD2155 (Rev 6/2021)