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UNIFIED PROGRAM INSPECTION CHECKLIST
S E CTI O N I: Hazardous Materials Business Plan
Insmi stilon
FACILITY NAM
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INSPECTION ^DATE
INSPECTION TIME
ADDRESS w
PHONY E NO.
NO OF EMPLOYEES
FACILITY CONTACT
BUSINESS ID NUMBER
Consent to Inspect Name/Title
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A ROUTINE ❑COMBINED ❑ JOINTAGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V = omp►ance OPERATION
CERS
V =violation; 1,11 Minor
Violation
COMMENT
�
APPROPRIATE PERMIT ON HAND (B
C: 15.65.080)
3010001.
�
BUSINESS PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
1010008
VISIBLE ADDRESS (CFC: 505.1, B
C: 15.52.020)
Kw
1
CORRECT OCCUPANCY
(CBC: 401)
a ,
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
1010004
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
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
`<C)
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES
(CCR: 2731(c))
,X0
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
1010010
CONTAINERS PROPERLY LABELED (CCR; 66262.34(f
, CFC: 2703.5)
3030007
HOUSEKEEPING -
(CFC: 304.1)
FIRE PROTECTION (CFC:
903 & 906)
3030032
SITE DIAGRAM ADEQUATE & ON HAND.
(CCR: 2729.2)
1010005
t
ANY HAZARDOUS WASTE ON SITE? EWES `0 NO
'
i natureyofRecei
Explain:
w.
Inspector: C P
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 is 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 8H14)