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5001 STOCKDALE_TMOBILE HMBP 3.21.24
UNIFIED PROGRAM INSPECTION CHECKLIST S E C T 10 N 1: Hazardous Materials Business Plan Inspection BAKERSFIELD FIRE DEPT. Prevention Services 2101 H Street �— ��� Bakersfield CA 93301 v Tel.: (661) 326-3979 ? v Fax: (661) 852-2171 FACILITY NAME (INSPECTION DATE INSPECTION TIME ce� l . ADDRESS PHONE NO. NO OF EM YEES FACILITY CONTACT BUSINESS ID NUMBER /03S i© CONSENT TO INSPECT NAME/TITLE _ :? r� vEV ►, Section 1: Business Plan and Inventory Program ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI -AGENCY ❑ COMPLAINT ❑ RE -INSPECTION C v C=Compliance OPERATION V=Violation; I, I I Minor C E R S Violation COMMENT ACTIVE HAZARDOUS MATERIALS PERMIT (BMC: 15.65.080) 3010001 CERS INFORMATION ENTERED & UPDATED ANNUALLY (CCR: 2729.1) 3210043 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 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) F'RE PROTECTION (CFC: 903 & 906) 3030032 SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) 1010005 ANY HAZARDOUS WASTE ON SITE? ❑ YES 121` NO Si2nature of Receipt i Explain: Inspector: d. POST INSPECTION STRUCTIONS: • 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)