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UNIFIED PROGRAM INSPECTION CHECKLIST aRrM T Bakersfield, CA 93301
Tel.: (661) 326 -3979 :
SECTION 1: Hazardous Materials Business Plan Fax: (661) 852 -2171
Inspection
FACILITY NAME
INSP CTION DATE
INSPECTION TIME
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NO OF EMPLOYEES .
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FACILITY CONTACT
BUSINESS ID NUMBER
Consent to Inspect Name/Title
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ROUTINE ❑ \ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE INSPECTION
C V = omp lance
OPERATION _
CERS
V= Violation; 1,11 Minor
Violation
COMMENT
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APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
3010001
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BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
1010008.x?
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
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CORRECT OCCUPANCY. (CBC: 401)
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- VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
1010004
VERIFICATION OF QUANTITIES (CCR: 2729.4).
1010006
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VERIFICATION OF LOCATION (CCR: 2729.2)
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PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b))
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VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
1020002`
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VERIFICATION OF :ABATEMENT SUPPLIES.& PROCEDURES (CCR: 2731(c))
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EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
1010010
CONTAINERS PROPERLY; LABELED (CCR: 66262.34(f), CFC: 2703.5)
3030007
HOUSEKEEPING (CFC: 304:1)
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FIRE PROTECTION (CFC: 903 & 906)
3030032
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SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
101,0005
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ANY HAZARDOUS WASTE ON SITE? ❑ YES ED NO
ignatqre ofRecei t ,!
Explain:
Inspector: 7r'. /. •. f�
POST INSPECTION INSTRUCTIONS:
Correct the violations) noted above by _
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Within .5 days of correcting all of the violations, sign and return a copy of this page to:. Signature (that all violations have been corrected as noted)
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
Date
White - Business Copy Yellow - Station Copy Pink - Prevention Services FD2155 (Rev 804)