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UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Hazardous Materials Business Plan
Inspection
EPAR��
BAKERSFIELD FIRE DEPT,
Prevention Services
2101 H Street
Bakersfield, CA 93_3
Tel.: (661) 326-3979
Fax. (661) 852-2171
FACILITY NAME ^
1+41 Ml�� � 1 �',Net> 1&141
ION DATE
INS71.74
�j �.
INSPECTION TIME
16)0 4�
ADDRESS 7,
FACILITY CONTACT
Consent to Inspect Name/Title fir^
y
PHON6 NO.
66r-6 3 r-rsyz_
BUSINESS ID NUMBER
AA
NO OF EMPLOYEES
6.,
Section 1: Business Plan and Inventory Program
J 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
APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
3010001
"'Sc"
r
CERS INFORMATION ENTERED & UPDATED ANNUALLY (CCR: 2729.1)
1010008
S Z
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
,ate
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(f), CFC: 2703.5)
3030007
HOUSEKEEPING (CFC: 304.1)
FIRE PROTECTION (CFC: 903 & 906)
3030032
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
1010005
NY HAZARDOUS WASTE ON SITE? ❑ YES �5' NO
Sioanatur .of Recei it
Explain:
.�'-INI /I f � y � + v►/ 1� r� � � y h �k /`t-G� � � � ti � L � �
C� � o� `7 A �
P j
Inspector: • Do% I/vS
POST INSPECTION INSTRUCTIONS: s
Correct the violation(s) noted above by
5 days of correcting all of the violations, sign and return a copy of this page to: Signature (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)