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UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: ,. Hazardous Materials Business Plan
94 .:
BAKERSFIELD FIRE DEPT.
FACILITY NAME
INSPECTIOI DATE
INSPECTION TIME
ADDRESS fib# t
PHONE NO.
NO OF EMPLOYEES
FACILITY CONTACT
BUSINESS ID NUMBER
Consent to Inspect Name/Title
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ROUTINE ❑ COMBINED ❑ JOINTAGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
,..r
C - V C=Uompliance OPERATION
CERS
v =Violation; 1,11 Minor
violation
COMMENT
APPROPRIATE PERMIT ON HAND (BMC :15.65.080)
3010001.
BUSINESS PLAN CONTACT INFORMATION ACCURATE (C
R: 2729.1)
1010008=�
VISIBLE ADDRESS (CFC: 505.1, BMC
15.52.020)
CORRECT OCCUPANCY
(CBC: 401)
VERIFICATION OF INVENTORY MATERIALS (CCR:
2729.3)
1010004
VERIFICATION OF QUANTITIES (C
R: 2729.4)
1010006
VERIFICATION OF LOCATION (C
R: 2729.2)
t
PROPER SEGREGATION OF MATERIAL (C
C: 2704.1)
r;
VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b))
VERIFICATION OF HAZ MAT TRAINING ( (',CR:
2732)
1020002
r
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (C
R: 2731(c))
EMERGENCY PROCEDURES ADEQUATE (CCR:
2731)
1010010
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), C
C: 2703.5)
3030007
t
HOUSEKEEPING (
FC:304.1)
' FIRE PROTECTION (CFC
903 & 906)
3030032
SITE DIAGRAM ADEQUATE & ON HAND (CCR:
2729.2)
1010005.
ANY HAZARDOUS WASTE ON SITE? (g�YES ❑ NO
ISianature
of Receii t
Explain
CID
Inspector:
POST INSPECTION INSTRUCTIONS:
0 Correct the violation(s) noted above by
• Within 5 days of correcting all of the violations, sign and return a copy of this ge to: Signature (that all violations have been corrected as noted)
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
White — Business Copy Yellow — Station Copy Pink— Prevention Services FD2155 (Rev 8//14)