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BAKERSFIELD FIRE DEFT
UNIFIED PROGRAM INSPECTION CHECKLIST Prevention Services
'� ��ev 2101 H Street
SECTION 1: Hazardous Materials Business Plan Bakersfield, CA 93301
Inspection Tel.: (661) 326-3979
Fax: (661) 852-2171
FACILITY NAME �INSPECTION DATE INSPECTION TIME a- ADDRESS 0707
PHONE NO. NO OF EMPLOYEES
FACILITY CONTACT BUSINESS ID NUMBER
CONSENT TO !PS/� CT NAME/TITLE
it /i.'� 1 M
Section 1: Business Plan and Inventory Program
❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI -AGENCY ❑ COMPLAINT ❑ RE -INSPECTION
C E R S
C V C=Compliance OPERATION
V=violation; 1,11 Minor
Violation
COMMENT
#
011
ACTIVE HAZARDOUS MATERIALS PERMIT (BMC: 15.65.080)
3010001
CERS INFORMATION ENTERED & UPDATED ANNUALLY (CCR: 2729.1)
1010008
A)
RQ Xj'e vi in Ii .QJI&4ve
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
_.
CORRECT OCCUPANCY (CBC: 401)
40.73
I
c.i fit.:/a4j,p r(
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
1010004
VERIFICATION OF QUANTITIES (CCR: 2729.4)
VERIFICATION OF LOCATION (CCR: 2729.2)
1010006
'
1e.5 Mae 4,
SOL
PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b))
1020002
VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
1010010
CONTAINERS PROPERLY LABELED (CCR: 66262.34(o, CFC: 2703.5)
3030007
HOUSEKEEPING (CFC: 304.1)
FIRE PROTECTION (CFC: 903 & 906)
3030032
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
1010005
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NOSignature'ofRecei
i
r
t U'e"
Explain:
Inspector: " OA, 00/Lq-
POST INSPECTION INSTRUCTIONS:
• Correct the violation(s) noted above by 079
• 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)
Date
White — Business Copy Yellow — Station Copy Pink — Prevention Services
FD2155 (Rev 7/2022)