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BAKERSFIELD FIRE DEPT.
UNIFIED PROGRAM INSPECTION CHECKLIST Prevention Services
2101 H Street
SECTION 1: Hazardous Materials Business Plan • ' Bakersfield, CA 93301Tel.: -
3979
(661) 326
Inspection Fax: (661) 852-2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
ADDRESS �
L'
'PHONE NO.
NO OF EMPLOYEES
--) Ir
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
C E R S
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
K a �` U ---
P� (� ,
VISIBLE ADDRESS (CFC: 505.1,
BMC: 15.52.020)
CORRECT OCCUPANCY
(CBC: 401)
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
1010004
Q 4�•OC t� i0
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
1010006
VERIFICATION OF LOCATION
(CCR: 2729.2)
��. e
PROPER SEGREGATION OF MATERIAL
(CFC: 2704.1)
/ -I
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)''
v
5:
FIRE PROTECTION
(CFC: 903 & 906)
3030032
l ell
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2)
1010005
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO
Si nature of Receipt
Explain:
. / J
Inspector: V t/t L�v Lam,_
POST INSPECTION INSTRUCTIONS:
• Correct the violation(s) noted above by _ r
$3
• 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)
.4CL
.4
Date
White — Business Copy Yellow — Station Copy Pink — Prevention Services FD2155 (Rev 6/2021)