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BAKERSFIELD FIRE DEPT,
UNIFIED PROGRAM INSPECTION Prevention Services
CHECKLIST 2101 H Street
Bakersfield, CA 93301
SECTION 1: Hazardous Materials Business Plan Tel.:661 e ( ) 326-3979
Insp
ection ction Fax: (661) 8 S 2 -2171
FACILITY NAME
a S P 3¢-t„ v1 5
INSPECTION DATE
r 3- z 14
INSPECTION TIME
ADDRESS /.3 8 t� er
C � �0 ��
PHONE NO. NO OF EMPLOYEES
FACILITY CONTACT
BUSINESS ID NUMBER
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
ACTIVE HAZARDOUS MATERIALS PERMIT (BMC: 15.65.080)
3010001
CERS INFORMATION ENTERED & UPDATED ANNUALLY (CCR: 2729.1)
1010008
3 e
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
Y_ s
71
CORRECT OCCUPANCY (CBC: 401)
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
1010004
/�v�00'f 'S F e x
VERIFICATION OF QUANTITIES (CCR: 2729.4)
1010006
1��E�eY9 c r _,
VERIFICATION OF LOCATION (CCR: 2729.2)
Z /OVA
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
Q V i Y Qvv� e f l�C
CONTAINERS PROPERLY LABELED (CCR: 66262.34(fl, CFC: 2703.5)
3030007
� C, � � 0
�
HOUSEKEEPING (CFC:304.1)
� t
Owl
FIRE PROTECTION (CFC: 903 & 906)
3030032
h C) % K j
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
1010005
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO
SigUatureofRecei t ,f ./
'IAA- 1t� 4 ti 6 C' e
Explain:
Inspector: JVL"' - IV
POST INSPECTION INSTRUCTIONS:
• Correct the violations noted above b
O y .
• 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)
t
Date
White - Business Copy Yellow - Station Copy Pink - Prevention Services FD2155 (Rev 7/2022)