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FACILITY
BAKERSFIELD FIRE DEPT,
UNIFIED PROGRAM INSPECTION CHEC
KLIST
SECTION 1: Hazardous Materials Business Plan
Inspection
NAME
CONTACT
TO INSPECT gAME/TITLE
Section 1: Business Plan and Inventory Program
❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI -AGENCY ❑ COMPLAINT ❑ RE -INSPECTION
ADDRESS
FACILITY
CONSENT
0
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326-3979
Fax: (661) 852-2171
INSPECTION DATE INSPECTION TIME
PHONE N0. NO OF EMPLOYEES
i
BUSINESS ID NUMBER
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 _ - 41 -- 2
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
CORRECT OCCUPANCY (CBC: 401)
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
1010004 1 f
VERIFICATION OF QUANTITIES (CCR: 2729.4)
1010006 —
,�. to C #
VERIFICATION OF LOCATION (CCR: 2729.2)
4 a
- / 5oo
-D,e Se{ C_Aa&-#4eafQ
PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
19
-, (�Sof
VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b))
..
33& 6r,
VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
1020002 30 (::�aj 5f
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
1010010
CONTAINERS PROPERLY LABELED e-t ( CR: fi6262.34(f), CFC: 2703.5)
3030007 I
2 v V�
HOUSEKEEPING (CFC:304.1)
FIRE PROTECTION (CFC: 903 & 906)
3030032 _
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
'
1010005
NY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO
i2natureofReceipt
Explain:
Inspector: 1�
POST INSPECTION INSTRUCTIONS:
• 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
White — Business Copy Yellow — Station Copy Pink — Prevention Services
Signature (that all violations have been corrected as noted)
Date
FD2155 (Rev 6/2021)