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UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: "Hazardous Materials Business Plan
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FACILITY NAME ,
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INSPEPTION DATE
INSPECTION TIME
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ADDRESS
PHONE NO.
NO OF EMPLOYEES
FACILITY CONTACT
W
BUSINESS ID NUMBER
Consent to Inspect Name/Title
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
ROUTINE ❑ COMBINED ❑ JOINTAGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V C=Gompliance OPERATION
CERS
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V =Violation; 1,11 Minor
Violation
COMMENT x j
#
APPROPRIATE PERMIT ON HAND (BMC:15.65.080)
3010001
'
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
1010008
VISIBLE ADDRESS (CFC: 505.1, BMC:15.52.020)
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CORRECT OCCUPANCY (CBC: 401)
•Y
Af
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
1010004
R 4 2729
VERIFICATION OF QUANTITIES (CC: . )
1010006
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 (CCR: 2731(c))
a
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
1010010
y"
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5)
3030007
HOUSEKEEPING (CFC: 304.1)'?
FIRE PROTECTION (CFC: 903 & 906)
3030032
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yy
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SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
1010005
ANY HAZARDOUS WASTE ON SITE? 13,YES ❑ NO Signatwe oiReceiitt' y4 f'
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Explain:
Inspector: �` • i .. ; ;:,
POST INSPECTION INSTRUCTIONS,.*",
• Correct the violations) noted above :by
• Within S 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)
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Bakersfield Fire Dept:; Prevention Services, 2101 H Street, California 93301 4
White Business Copy Yellow Station Copy Pink — Prevention Services FD2155 (Rev 81/14)