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BAKERSFIELD FIRE DEPT.
UNIFIED PROGRAM INSPECTION � Prevention Services
CHECKLIST 2101 H Street
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Bakersfield CA 93301
SECTION 1: Hazardous Materials Business Plan Tel.: (661)� 326-3979
Inspection Fax: (661) 852-2171
FACILITY NAME �
YP
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INSPECTION DATE
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INSPECTION TIME
ADDRESS
PHONE NO.
NO OF EMPLOYEES
FACILITY CONTACT
BUSINESS ID NUMBER
ONSENT 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
#
- 5
COMMENT
ACTIVE HAZARDOUS MATERIALS PERMIT (BMC: 15.65.080)
3010001
4
CERS INFORMATION ENTERED & UPDATED ANNUALLY (CCR: 2729.1)
1010008
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VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
CORRECT OCCUPANCY (CBC: 401)
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
1010004
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)
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FIRE PROTECTION
V -f
-SP1-) %A,t� ro
3030032
CF r
:1 por- T'
SITE DIAGRAM ADEQUATE & ON HAND .- (CCR: 2729.2)
/
1010005
ANY H A Z A R D C U S WASTE ON SITE? ❑ YES ❑ NO
Signature of Recei t
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Explain: qR - '
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Inspector: kt^ " I W -4
POST INSPECTION INSTRUCTIONS: ! r
• Correct the violations) noted above b 3 Y
• 7,
Within 5 days of correcting all of the viola ions, sign and return a copy of this page to:
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
White — Business Copy Yellow — Station Copy Pink — Prevention Services
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Signature (that all violations have been corrected as noted)
Date
FD2155 (Rev 7/2022)