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BAKERSFIELD FIRE DEPT.
UNIFIED PROGRAM INSPECTION CHECKLIST Prevention Services
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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
ADDRESS
.3 0c) 1A Rkk�
PHONE NO.
NO OF EMPLOYEES
FACILITY CONTACT
BUSINESS ID NUMBER
CONSENT TO NSPE T NAME/TITLE
T
1
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
X
CERS INFORMATION ENTERED & UPDATED ANNUALLY (CCR: 2729.1)
3210043
,
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)Al,A-
%
44 ".0—
CORRECT OCCUPANCY (CBC: 401)
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
10100044
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VERIFICATION OF QUANTITIES (CCR: 2729.4)
1010006`
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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(f), CFC: 2703.5)
3030007
HOUSEKEEPING (CFC: 304.1)
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J
FIRE PROTECTION (CFC: 903 & 906)
3030032Oef
r _ 9 7. '
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
1010005
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO
i nature of Receipt
YtA uQ ce_r*� (goo,
Explain:
Inspector: e 'A
POST INSPECTION INSTRUCTIONS:
• Correct the violation(s) noted above by '�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)
White — Business Copy Yellow — Station Copy Pink — Prevention Services
Date
FD2155 (Rev 6/2021)