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- BAKERSFIELD FIRE DEPT.
UNIFIED PRO RAM INSPECTION CHECKLIST
SECTION 1: Hazardous Materials Business Plan
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FACILITY NAME, I
IN9'PEdeON DATE
INSPECTION TIME
ADDRESS T
MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
PHONE NO.
O OF EMPLOYEES
FA,CILITY CONTACJ
BUSINESS ID NUMBER
Consent to Inspect Name/Title
3010001
C V C=Cornpliance OPERATION
F YY__?ate.,
,ROUTINE ❑ COMBINED ❑ JOINTAGENCY� ❑
MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V C=Cornpliance OPERATION
CERS
V= Violation; 1,11 Minor
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Violation
COMMENT
APPROPRIATE PERMIT ON HAND (BMC:15.65.080)
3010001
I
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
1010008
VISIBLE ADDRESS (CFC: 505.1, BMC:15.52.020):_
CORRECT OCCUPANCY (CBC: 401),
I r �;.
r
VERIFICATION OF INVENTORY MATERIALS °";(CCR: 2729.3)
1010004
_
VERIFICATION OF QUANTITIES (CCR: ;2729.4)
1010006
VERIFICATION OF LOCATION (CCR: 2729.2)
Q
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PROPER SEGREGATION OF MATERIAL (CF C:`2704.1)
VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b))
VERIFICATION OF, HA'Z MAT TRAINING (CCR: 2732)
S
1020002
VERIFICATION,OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c)}
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
1010010
r
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), C C: 2703.5)
3030007
i
`•°HQUSEKEEPING ( FC: 304.1)
FIRE PROTECTION (CFC:903 & 906)
3030032
SITE DIAGRAM ADEQUATE & ON HAND (CCR:
2729.2)
1010005
" F
ANY HAZARDOUS WASTE ON SITE? ❑ YES NO
Simtwe ofRecei' t
..
r
Explain: j1 P
POST INSPECTION INSTRUCTIONS: X
• 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 93301
Date
White — Business Copy Yellow — Station Copy Pink — Prevention Services FD2155 (Rev 8//14)