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UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Hazardous Materials Business Plan Ilk
Inspection
' FACILITY NAME Ir e
ADDRESS `-
1 Li
FACILITY CONTACT
Consent to Inspect Name/Title
BAKERSFIELD FIRE DEFT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326-3979
Fax: (661) 852-2171
(L INSPECTION DATE INSPECTION TIME
PHONE NO. NO OF EMPLOYEES
,BUSINESS ID NUMBER
Section 1: Business Plan and Inventory Program
❑ ROUTINE ❑ COMBINED 1:1 JOINT AGENCY ❑ MULTI -AGENCY ❑ COMPLAINT ❑ RE -INSPECTION
C V C=Compliance OPERATION
V=Violation; 1,11 Minor
CERS
Violation
COMMENT
APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
3010001
CERS INFORMATION ENTERED & UPDATED ANNUALLY (CCR: 2729.1)
3210043
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
"''Vf
CORRECT OCCUPANCY (CBC: 401)
k f V'
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
1010004
-S Ck e
VERIFICATION OF QUANTITIES (CCR: 2729.4)
1010006
� )III14LO"� �
VERIFICATION OF LOCATION (CCR: 2729.2)
q') a I T-27
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
r
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
1010005
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO
SignatureofRecei t
Explain:N* .r-
f sec servi C t C103 5
Inspector: V. 11� - i ',-IV 10''. a 7 (j - 5 (0 b d4_ 1"etA*A,2 f j
POST INSPECTION INSTRUCTIONS: 3
• 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:
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 9/2017)