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BAKERSFIELD FIRE DEPT.
• UNIFIED PROGRAM INSPECTION CHECKLIST Prevention Services2101 H Street
SECTION 1: Hazardous Materials Business Plan Bakersfield, CA 93301Tel.: (661) 326-3979
Inspection �.,.,� Fax: (661) 852-2171
FACILITY NAME
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INSPECTION D TE
/D Z 3-
INSPECTION TIME
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ADDRESS
HONE NO.
7(o.
IUSINESS
NO OF EMPLOYEES
FACILITY CONTACT
�Z
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
C E R S
Violation
COMMENT
ACTIVE HAZARDOUS MATERIALS PERMIT (BMC: 15.65.080)
3010001
CERS INFORMATION ENTERED & UPDATED ANNUALLY (CCR: 2729.1)
3210043
0 0 d4�/!�
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
CORRECT OCCUPANCY (CBC: 401)
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
1010004
J5 00 q` g L
VERIFICATION OF QUANTITIES (CCR: 2729.4)
1010006
1
VERIFICATION OF LOCATION (CCR: 2729.2)
11 r e IL
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�.D
V
CONTAINERS PROPERLY LABELED 'z•v�CCR: 66262.34(o, CFC: 2703.5)
3030007Lj
t�•t. Q P tf 1f i
HOUSEKEEPING (CFC: 304.1)
- ll
FIRE PROTECTION (CFC: 903 & 906)
3030032
j
' 1 �%No'.AA I +�--
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
1010005
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO
Si nature of Receipt
Q i/0-4-
Explain: /
Inspector• A t '
POST INSPECTION INSTRUCTIONS: • Correct the violation(s) noted above by IaLO
�2 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)
Date
White — Business Copy Yellow — Station Copy Pink — Prevention Services FD2155 (Rev 6/2021)