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BAKERSFIELD FIRE DEPT.
UNIFIED PROGRAM INSPECTION CHECKLIST, Prevention Services
;9 2101 H Street
SECTION 1: Hazardous Materials Business Plan Tel.: 661 Bakersfield,
CA 93301
326-3979
C )
Inspection Fax: [661) 852-2171
FACILITY NAME 1< ;?
ADDRESS
-3300 /J
FACILITY CONTACT
CONSENT TO INSPECT NAME/TITLE
INSPECTION DATE INSPECTION TIME
C4 V
PHONE NO. NO OF EMPLOYEES
k b ✓�
BUSINESS ID NUMBER
I/ 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
ACTIVE HAZARDOUS MATERIALS PERMIT (BMC: 15.65.080)
3010001
CERS INFORMATION ENTERED & UPDATED ANNUALLY (CCR: 2729.1)
1010008
A4 e
144.4 U
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
+ �1 d
S
CORRECT OCCUPANCY (CBC: 401)
AV e-.Se
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
1010004
(a
VERIFICATION OF QUANTITIES (CCR: 2729.4)
1010006
VERIFICATION OF LOCATION (CCR: 2729.2)
PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
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(o, CFC: 2703.5)
3030007
HOUSEKEEPING (CFC: 304.1)
FIRE PROTECTION (CFC: 903 & 906) 1_
3030032 4 %%
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) 1010005
0 \^ V`�
ANY HAZARDOUS WASTE ON SITE? ❑ YES D' NO SignatureofRecei
Explain:
Inspector: Ilk w oor�
POST INSPECTION INSTRUCTIONS: ;2 ?
• Correct the violations noted above b P�
O y
• 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 7/2022)