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BAKERSFIELD FIRE DEPT.
UNIFIED PROGRAM Prevention Services
INSPECTION CHECKLIST 2101 H Street
SECTION 1: Hazardous Materials Business Plan Tel.: 661 Bakersfield,
CA 93301
326-3979
( )
Inspection Fax: (661) 852-2171
FACILITY NAME i k�sINSPECTION DATE INSPECTION TIME
arak
ADDRESS PHONE NO. NO OF EMPLOYEES
�?G StiJ i er C-�
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
CERS
Violation
COMMENT
ACTIVE HAZARDOUS MATERIALS PERMIT (BMC: 15.65.080)
3010001
CERS INFORMATION ENTERED 8c UPDATED ANNUALLY (CCR: 2729.1)
1010008
e �/j'� eY 1 N 4
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
--
CORRECT OCCUPANCY (CBC: 401)
eS S e IaAA,
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
1010004
i
VERIFICATION OF QUANTITIES (CCR: 2729.4)
�010006
e 5 c,C H , .1 �'c � r►� � n ► 5�Y
VERIFICATION OF LOCATION 27 9.2) .
70 /,��c�
c
YcQ
���o d�Y
v'�(CFC:
PROPER SEGREGATION OF MATERIAL � � lit,e
2704.1)
D A
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))
Je (64.5 Q,,,f
EMERGENCY PROCEDURES ADEQUATE
1010010
p ��
CONTAINERS PROPERLY LABELED (CC262.34(0, CFC:2703.5)
3030007
rUln1„�00-K P S Pa c F,
� rW
HOUSEKEEPING (CFC:304.1)
r
FIRE PROTECTION (CFC: 903 & 906)
3030032
� 20 Z C� 1��+ Z (7
SITE DIAGRAM ADEQUATE 8 ON HAND (CCR: 2729.2)
1010005
ANY HAZARDOUS WASTE ON SITE? ❑YES ❑ NO
SiLmature ofReceipt
Explain:
o V, e Q)C+ %A � 5 G��P r � r� '�Yoo r�5 2 c) 12-
Inspector:
!/'3 1/k/,
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
Signature (that all violations have been corrected as noted)
`k hite — Business Copy Yellow — Station Copy Pink — Prevention Services
Date
FD2155 (Rev 7/2022)