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BAKERSFIELD FIRE DEPT.
► Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST 2101HStreet
Bakersfield, CA 93301
SECTION 1: Hazardous Materials Business Plan • ' Tel.: (661) 326-3979
Inspection Fax: (661) 852-2171
FACILITY NAME 1
W Q'�L&_" I!A
INSPECTION DATE
7
INSPECTION TIME
ADDRESS
PHONE NO.
NO OF EMPLOYEES
FACILITY CONTACT
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BUSINESS ID NUMBER
CONSENT TO INSPECT NAME/TITLE
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Section 1: Business Plan and Inventory Program
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI -AGENCY ❑ COMPLAINT ❑ RE -INSPECTION
C V C=Compliance OPERATION
V=`Jiolation; 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)
1010008
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VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
C _ ?Q _
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-
CORRECT OCCUPANCY (CBC: 401)
VERIFICATION OF INVENTORY MATERIALS CCR: 2729.3
( )
1010004
VERIFICATION OF QUANTITIES (CCR: 2729.4)
1010006
VERIFICATION OF LOCATION V(CCR: 2729.2)
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
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f , CFC: 2703.5)
3030007
HOUSEKEEPING (CFC: 304.1)
FIRE PROTECTION (CFC: 903 & 906)
3030032
f j '�'
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
1010005
ANY HAZARDOUS WASTE ON SITE? EIYES ❑ NO
Si nature ofRecei
Explain:
Inspector: erL V%'^."
POST INSPECTION INSTRUCTIONS: 3.0-
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:
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
Signature (that all violations have been corrected as noted)
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White — Business Copy Yellow — Station Copy Pink — Prevention Services
Date
FD2155 (Rev 7/2022)