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UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Hazardous Materials Business Plan
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!MERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME
CE
INSPECTION DATE
INSPECTION TIME
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Viol
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ADDRESS
HONE NO.
NO OF EMPLOYEES
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FACILITY CONTACT ;'
USINESprS ID NUMBER
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onsent to Inspect Name/Title
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C V OPERATION
CE
; S
V= Violation; 1,11 Minor
Viol
MROUTINE ❑ COMBINED ❑ JOINTAGENCY ❑ MULTI - AGENCY
❑ COMPLAINT ❑ RE- INSPECTION
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C V OPERATION
CE
; S
V= Violation; 1,11 Minor
Viol
ion
COMMENT
30101
01
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APPROPRIATE PERMIT ON HAND (BMC:15.65.080)
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BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
101008''
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
CORRECT OCCUPANCY (CBC: 401)
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
101004
R
VERIFICATION OF QUANTITIES (CCR: 2729.4)
1010D06..
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)
102002
I
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
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EMERGENCY PROCEDURES ADEQUATE (CCR: 2731 )
1010010
X
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5)
30301p07
HOUSEKEEPING (CFC: 304.1)
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FIRE PROTECTION . (CFC: 903 & 906)
3030P
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SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
10101
05
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ANY HAZARDOUS WASTE ON SITE? ❑ YES MI—NO
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xplain:
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 93301
Date
White — Business Copy Yellow — Station Copy Pink — Prevention Services FD2155 (Rev 8//14)