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UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Hazardous Materials Business
BAMRSF
IELIe, FIRE DEPT.
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FACILITY NAME
INSPECTION DATE
INSPECTION TIME
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ADDRESS
PHONE NO.
NO OF EMPLOYEES
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3010001
USINESS ID NUMBER
FACILITY CONTACT
BUSINESS PLAN CONTACT INFORMATION ACCURATE ((
CR: 2729.1)
1010008
Consent to Inspect Naiime/Titlet "� X
VISIBLE ADDRESS (CFC:505.1, BMC
:15.52.020)
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ROUTINE El COMBINED E71 JOINTAGENCY ❑ MULTI - AGENCY ❑COMPLAINT El RE- INSPECTION
I
C V C=Gompliance OPERATION
CERS
V =Violation; 1,11 Minor
Violation
COMMENT
APPROPRIATE PERMIT ON HAND (BM01
:15.65.080)
3010001
/I
BUSINESS PLAN CONTACT INFORMATION ACCURATE ((
CR: 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 (cCR:
2729.4)
1010006
VERIFICATION OF LOCATION (i
CR: 2729.2)
,.'
PROPER SEGREGATION OF MATERIAL (CFO:
2704.1)
3'
VERIFICATION OF SDS AVAILABILITY (CCR:
729.2(3)(b))
VERIFICATION OF HAZ MAT TRAINING
CCR: 2732)
1020002
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CR:
2731(c))
.'s
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
1010010
u�
CONTAINERS PROPERLY LABELED (CCR: 66262.34(o,
FC: 2703.5)
3030007
•
HOUSEKEEPING
(CFC: 304.1)
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FIRE PROTECTION (CF
C: 903 & 906)
3030032
SITE DIAGRAM ADEQUATE & ON HAND (CCR*
2729.2)
1010005
ANY HAZARDOUS WASTE ON SITE? 0-YES ❑ NO
Simture ofRecei t a �
xplain:
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Inspector:
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: Signature (that all violations have been corrected as noted)
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93k 1
r Date
White - Business Copy Yellow — Station Copy Pink • Prevention Services
FD2155 (Rev 8H14)