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UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Hazardous Materials Business Plan
Inspection
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
° Bakersfield, CA 93301
Tel.: (661) 326-3979
Fax: (661) 852-2171
FACILITY NAME
Lp
INSPECTION DATE
INSPECTION TIME
ADDRESS
1 Ca t I S -.
PHONE NO.
NO OF EMPLOYEES
y- Ede 0 __1
FACILITY CONTACT
BUSINESS ID NUMBER
r r 0 v--,. ..� _ Fp (o— -37 71
CONSENT TO INSPECT NAME/TITLE
/1
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
C E R S
Violation
COMMENT
ACTIVE HAZARDOUS MATERIALS PERMIT (BMC: 15.65.080)
3010001
(CCR: 2729.1
CERS INFORMATION ENTERED & UPDATED ANNUALLY )
1010008
�j "' Z
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
/A % V dd Y e, C 4 /v
Q
CORRECT OCCUPANCY (CBC: 401)
i
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
1010004
VERIFICATION OF QUANTITIES (CCR; 2729.4)
1010006
� 40 5E,
VERIFICATION OF LOCATION (CCR: 2729.2)
PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b))
VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
1020002
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCPR:27 31(c))
_
1A CL (S) n
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
11 Z
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
1010005
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO
Si nature ofReceipt
QE
u/y\ d
_
Explain: d
t?
FD2155 (Rev 7/2022)
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