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UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Hazardous Materials Business Plan
Insnalillon
BMERSFIELD, FIRE DEPT.
FACILITY NAME
4
INSPECTION. DATE
INSPECTION TIME
ROUTINE ❑ COMBINED ❑ JOINTAGENCY
MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
ADDRESS
HONE NO._ ._ _ °
NO OF EMPLOYEES
BUSINESS PLAN CONTACT INFORMATION ACCURATE (C
R: 2729.1)
1010008
FACILITY CONTACT
BUSINESS ID NUMBER
15.52.020)
Consent to Inspect Name/TitleX
s s
4
a
E r.
x { x
ROUTINE ❑ COMBINED ❑ JOINTAGENCY
MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V C=Compliance OPERATION
V =Violation; 1,11 Minor
CERS
Violation
COMMENT
APPROPRIATE PERMIT ON HAND (BMC:
15.65.080)
9010001
BUSINESS PLAN CONTACT INFORMATION ACCURATE (C
R: 2729.1)
1010008
VISIBLE ADDRESS (CFC: 505.1, BM C:
15.52.020)
CORRECT OCCUPANCY
(CBC: 401)
f
VERIFICATION OF INVENTORY MATERIALS (CCR:
2729.3)
1010004
k�,.
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))
i
VERIFICATION OF HAZ MAT TRAINING (CCR:
2732)
1020002
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (C
R: 2731(c))
EMERGENCY PROCEDURES ADEQUATE
CCR: 2731)
1010010
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), C
FC: 2703.5)
3030007
HOUSEKEEPING I
CFC: 304.1)
FIRE PROTECTION (CFC:
903 & 906)
3030032
SITE DIAGRAM ADEQUATE & ON HAND (CCR:
2729.2)
1010005
ANY HAZARDOUS WASTE ON SITE? Q,YES ❑ NO
i tureofReceipt
Explain:
Inspector:A,.;
POST INSPECTION INSTRUCTIONS._.' ...
• Correct the violation(s) noted Tabove by 1.
• Within 5 days of correcting all of the violations, sign and return a copy of this age to: Signature (that all violations have been,corrected as noted)
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 9330
Date
White — Business Copy Yellow — Station Copy, Pink — I Irevention Services
FD2155 (Rev 8#14)