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BAKERSFIELD FIRE DEPT.
�� Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST 2101 H Street
Bakersfield, CA 93301
SECTION 1: Hazardous Materials Business Plan Tel.: (661) 326-3979
Inspection Fax: (661) 852-2171
FACILITY NAME INSPECTION DATE INSPECTION TIME
'0410t.,
ADDRESS PHONE NO. NO OF EMPLOYEES
6 VJ aA4
FACILITY CONTACT BUSINESS ID NUMBER
Are e � �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 R S
V=Violation; 1,11 Minor Violation COMMENT
3010001 r?
ACTIVE HAZARDOUS MATERIALS PERMIT (BMC: 15.65.080)
CERS INFORMATION ENTERED & UPDATED ANNUALLY (CCR: 2729.1) 3210043
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
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CORRECT OCCUPANCY (CBC: 401) -� � G� i i ` 5 C� 45c
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) 1010004 f A 16 1, wo 51 e
Irt
VERIFICATION OF QUANTITIES (CCR: 2729.4) 1010006 l
VERIFICATION OF LOCATION (CCR: 2729.2)
4.3 iA
PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)11 7 V
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)) i
:•'`
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) 1010010 P e /toc
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC. 2703.5) 3030007 ;A 0 v P
HOUSEKEEPING (CFC: 304.1)
FIRE PROTECTION (CFC: 903 & 906) 3030032 j5 Z
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) 1010005
WASTE ON SITE? ❑ YES ❑ NO I nature of Receipt
ANY
HAZARDOUS
Explain:
Inspector: ki - tJ
POST INSPECTION INSTRUCTIONS: r
• 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 6/2021)
a
11