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�-! BAKERSFIELD FIRE DEPT,
N U IFIED PROGRAM INSPECTION CHECKLIST Prevention Services
2101 H Street
C
°� Bakersfield � CA 93301
SECTION 1: Hazardous Materials Business Plan ' • ' Tel.: (661)326-3979
Inspection Fax: (661) 852-2171
FACILITY NAME
,
L tA
INSP CTION DATE
7 Z (9
INSPECTION TIME
ADDRESS
.37
lA � t�► Y VL
PHONE NO.
NO OF EMPLOYEES
FACILITY CONTACT
BUSINESS ID NUMBER
a
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
60*
ACTIVE HAZARDOUS MATERIALS PERMIT (BMC: 15.65.080)
3010001
CERS INFORMATION ENTERED & UPDATED ANNUALLY (CCR: 2729.1)
3210043
f 3
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
CORRECT OCCUPANCY (CBC: 401)
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
1010004
JA (�4 00/--" -40r/ Lt_
VERIFICATION OF QUANTITIES (CCR: 2729.4)
1010006
I't
VERIFICATION OF LOCATION (CCR: 2729.2)
PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
.--.
VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b))
V
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
r
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
1010005
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO
Sitmature of Recei U-,•
Explain:
Inspector: VLA 6&L f
POST INSPECTION INSTRUCTION'S: �
• 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)
White — Business Copy Yellow — Station Copy Pink — Prevention Services
Date
FD2155 (Rev 6/2021)