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FACILITY
ADDRESS
FACILITY
CONSENT
BAKERSFIELD FIRE DEPT.
UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Hazardous Materials Business Plan
Inspection
NAME ``
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CONTACT
TO INSPECT NAME/TITLE
Section 1: Business Plan and Inventory Program
El ROUTINE El COMBINED El JOINT AGENCY [1MULTI-AGENCYEl COMPLAINT ❑ RE -INSPECTION
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Fax: (661) 852-2171
. Prevention Services
a 2101 H Street
Bakersfield, CA 93301
` Tel.: (661) 326-3979
INSPECTION DATE INSPECTION TIME
HONE NO. NO OF EMPLOYEES
USINESS ID NUMBER
C V C=Compliance OPERATION C E R S
V=Violation; 1,11 Minor Violation. COMMENT
#
ACTIVE HAZARDOUS MATERIALS PERMIT (BMC: 15.65.080) 3010001
• F
CERS INFORMATION ENTERED & UPDATED ANNUALLY (CCR: 2729.1) 3210043 73 -- Vef
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VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
CORRECT OCCUPANCY (CBC: 401)
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) 1010004� y j
VERIFICATION OF QUANTITIES (CCR: 2729.4) 1010006/1A
--
VERIFICATION OF LOCATION (CCR: 2729.2)
PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
VERIFICATION OF SIDS 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
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CONTAINERS PROPERLY LABELED (CCR: 66262.34(o, CFC: 2703.5) 3030007 oC"
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HOUSEKEEPING (CFC: 304.1)
FIRE PROTECTION (CFC: 903 & 906) 3030032
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) 1010005
ANY HAZARDOUS WASTE ON SITE? El YES ❑ NO Si nature of Receipt
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Explain:
Inspector: f 2-POST INSPECTION INSTRUCTIONS: _ 3
• Correct the violations noted above by _ 1
Z
• Within 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 — Business Copy Yellow — Station Copy Pink — Prevention Services FD2155 (Rev 6/2021)