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BAKERSFIELD FIRE DEPT.
Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST, :' .`}. 2101 H Street
' Bakersfield, CA 93301
SECTION 1: Hazardous Materials Business Plan Tel.: (661) 326 -3979
Inspection Fax: (661) 852 -2171
FACILITY NAME
INSPECTION DAdTEE^ INSPECTION TIME
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PHONE`'NO. NO OF EMPLOYEES
ADDRESS
CERS INFORMATION ENTERED & UPDATED ANNUALLY (CCR: 2729.1)
BUSINESS ID NUMBER
FACILITY CONTACT
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
Consent to Inspect Name /Title
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Section 'I Busines P an and Inven ory rogira
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0,""'ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V C= Compliance OPERATION
V =Violation; 1,11 Minor
C E RS
Violation
C ®M M E N T
APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
3010001
CERS INFORMATION ENTERED & UPDATED ANNUALLY (CCR: 2729.1)
3210043
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
CORRECT OCCUPANCY (CBC: 401)
VERIFICATION OF INVENTORY MATERIALS (OCR: 2729.3)
1010004
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))
VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
1020002
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
1010010
'
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f , CFC: 2703.5)
3030007
I
HOUSEKEEPING (CFC: 304.1)
FIRE PROTECTION (CFC: 903 & 906)
3030032
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
1010005
ANY HAZARDOUS WASTE ON SITE? N"YES ❑ NO
Signature ofReceipt
Explain: +
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 9/2017)