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BAKERSFIELD FIRE DEPT.
Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLISTS 21o1HStreet
Bakersfield, CA 93301
SECTION 1: Hazardous Materials Business Plan Tee.: (661) 326-3979
Inspection � Fax: (661) 852-2171
FACILITY NAME
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INSPECTION DATE
2 :Z
INSPECTION TIME
ADDRESS
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PHONE NO. NO OF EMPLOYEES
BUSINESS ID NUMBER
FACILITY CONTACT
CONSENT TO INSPECT NAME/TITLE
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; I, I I Minor violation COMMENT
#
ACTIVE HAZARDOUS MATERIALS PERMIT (BMC: 15.65.080)
3010001
CERS INFORMATION ENTERED & UPDATED ANNUALLY (CCR: 2729.1)
3210043
,.
2.3
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
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CORRECT OCCUPANCY (CBC: 401)
1
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
1010004
AC/ r 'rl
VERIFICATION OF QUANTITIES (CCR: 2729.4)
1010006
i
VERIFICATION OF LOCATION (CCR: 2729.2)
14
PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
"1 f r
VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b))
t, r
A dcl_ u 44
VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
1020002
k
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
1010010
CILDw
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5)
3030007
HOUSEKEEPING (CFC: 304.1)
FIRE PROTECTION (CFC: 903 & 906)
3030032
3jf3lz
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
1010005
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ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO Sip —nature of YN'tcope—ipt
Explain: � � �C ear f�' e ,� C e Q ,�' �- 3 ,
Inspector• 00V�
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
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
Signature (that all violations have been corrected as noted)
White — Business Copy Yellow — Station Copy Pink — Prevention Services
Date
FD2155 (Rev 6/2021)