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BAKERSFIELD FIRE DEPT,
Ak Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST 2101 H Street
field CA 93301
Bakersfield,
SECTION 1: Hazardous Materials Business Plan Tel.: (661) 326-3979
Inspection Fax: (661) 852-2171
FACILITY NAME INSPECTION DATE INSPECTION TIME
ADDRESS ) HONE NO. NO OF EMPLOYEES
FACILITY CONTACT BUSINESS ID NUMBER
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
V=violation; 1,11 Minor
ACTIVE HAZARDOUS MATERIALS PERMIT (BMC: 15.65.080)
CERS INFORMATION ENTERED & UPDATED ANNUALLY (CCR: 2729.1)
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
CORRECT OCCUPANCY (CBC: 401)
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
VERIFICATION OF QUANTITIES (CCR: 2729.4)
C E RS
Violation
#
3010001
3210043
1010004,�
1010006
COMMENT
VERIFICATION OF LOCATION (CCR: 2729.2)
PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
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Z �4L
VERIFICATION OF SIDS AVAILABILITY (CCR: 2729.2(3)(b))
f L1i!A,
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)
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FIRE PROTECTION (CFC: 903 & 906)
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3030032
/� -n0_
.3 7
f r
SITE DIAGRAM ADEQUATE & ON HAND �`� CCR: 2729.2) 1010005 , [ \r,
jt
NY HAZARDOUS WASTE ON SITE? YES ❑ NO Si nature ofRecei t
Explain:
Inspector: LAIA
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:
Bakers field Fire ept., Prevention Services, 2101 H Street, Califo ' 93301
4% � CAL f
OTC i 1/j V, OL*�
White — Business Copy Yellow — Station Copy Pink — Prevention Services
Signature (that all violations have been corrected as noted)
Date
FD2155 (Rev 6i2021)