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BAKERSFIELD FIRE DEPT.
UNIFIED PROGRAM INSPECTION CHECKLIST Prevention Services
- 2101 H Street
° Bakersfield, CA 93301
SECTION 1: Hazardous Materials Business Plan Tel.: (661) 326-3979
Inspection Fax: (661) 852-2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
Vjr
I - j P"
ADDRESS -
S-3 t
PHONE NO.
NO OF EMPLOYEES
t
FACILITY CONTACT
1.5
BUSINESS ID NUMBER
0 .50
CONSENTTOINAME/TITLE
_Lj
00-
Section 1: Business Plan and Inventory Program
❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI -AGENCY ❑ COMPLAINT ❑ RE -INSPECTION
C u C=Compliance OPERATION
C E R S
V=Violation; 1,11 Minor
Violation
COMMENT
ACTIVE HAZARDOUS MATERIALS PERMIT (BMC: 15.65.080)
3010001
CERS INFORMATION ENTERED & UPDATED ANNUALLY (CCR: 2729.1)
1010008
—� - Z
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
_
CORRECT OCCUPANCY (CBC: 401)
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
1010004d4
_ o
VERIFICATION OF QUANTITIES (CCR: 2729.4)
1010006
f
VERIFICATION OF LOCATION (CCR: 2729.2)
.T ra►
PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b))
1 v (.� dil
C� .S
VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
1020002
,, jPc ve cks -P use-d 144 s42I4c)
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
1010010
( r
CONTAINERS PROPERLY LABELED (CCR: 66262.34(o, CFC: 2703.5)
3030007
HOUSEKEEPING (CFC: 304.1)
"00FIRE PROTECTION (CFC: 903 & 906)
-- _
3030032 12
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
1010005
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO
Signature of Recei t
Explain: - `
'A "� ;nn ► S��f��� genvQyag Qa5ed'
Inspector:--- -'"
POST INSPECTION INSTRUCTIONS: +-
• Correct the v iolation(s) noted above by 7
• 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 7/2022)