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UNIFIED PROGRAM INSPECTION CHECKL ST
SECTION 1: Hazardous Materials Business Plan
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BAMRSFIELD FIRE DEPT.
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
ADDRESS
PHONE NO.
NO OF EMPLOYEES
FACILITY CONTACT
'BUSINESS ID NUMBER
onsent to Inspect Name/Title j
AI
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ROUTINE ❑ COMBINED El JOINTAGENCY El MULTI- AGENCY El COMPLAINT ❑ RE- INSPECTION
C V =Compliance OPERATION
CERS
V =violation; 1,11 Minor
Violation
COMMENT
#
APPROPRIATE PERMIT ON HAND (BM
:15.65.080)
3010001
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR:
2729.1)
1010008
s
'
/
VISIBLE ADDRESS (CFC: 505.1, BM
:15.52.020)
CORRECT OCCUPANCY
(CBC: 401)
VERIFICATION OF INVENTORY MATERIALS (CR:
2729.3)
1010004
VERIFICATION OF QUANTITIES (0C
R: 2729.4)
1010006
VERIFICATION OF LOCATION (
CR: 2729.2)
s
1
PROPER SEGREGATION OF MATERIAL (
FC: 2704.1)
VERIFICATION OF SDS AVAILABILITY (CCR:
29.2(3)(b))
VERIFICATION OF HAZ MAT TRAINING
CCR: 2732)
1020002
4
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR:
2731(c))
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
1010010
A
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f),
CFC: 2703.5)
3030007
1
HOUSEKEEPING
(CFC :304.1)
FIRE PROTECTION (CF
CO: 903 & 906)
3030032
X
SITE DIAGRAM ADEQUATE & ON HAND (CCR:
2729.2)
1010005
n
ANY HAZARDOUS WASTE ON SITE? /❑`AYES ❑ NO
i natureofRece max°
Explain:
Inspector: e f
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 9330
White — Business Copy Yellow — Station Copy Pink — Prevention Services
d F
Signature (that all violations have been corrected as noted)
Date
FD2155 (Rev 81/14)