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UNIFIED PROGRAM INSPECTION CHECKLIST B E.R:.sFI: - 2101HStreet
FARE
w ARrm r Bakersfield; CA 93301
SECTION 1: Business Plan and lnn e1`1t ry Program Tel.: (661),326- 3979
Fax: (661) 852 -2171
FACILITY NAME
C C= Compliance)
OPERATION
V= Violation
INSPECTION DATE
INSPECTION TIME
ADDRESS
(BMC: 1.65.080)
(CCR: 2729.1)
(CFC: 505.1, BMC: 15.52.020)
(CBC: 401)
PHONE NO. NO OF EMPLOYEES
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BUSINESS ID NUMBER
FACILITY CONTACT
0 Jy�
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VERIFICATION OF HAZ MAT TRAINING (CCR:,2732)
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR: 2731))
EMERGENCY PROCEDURES ADEQUATE (CCR 2731)
CONTAINERS PROPERLY LABELED AjA (CCR: 66262.34(F), CFC 2703.5)
HOUSEKEEPING (CFC: 304.1)
FIRE PROTECTION (CFC: 903 & 906)
SITE DIAGRAM ADEQUATE & ON HAND (CCR 2729.2)
Consent to Inspect Name /Title
❑,.. ROUTINE .. pr COMBINED . .
BINED El JOINT AGENCY ❑ MU El RE- INSPECTION
LTI- AGENCY
C V
C C= Compliance)
OPERATION
V= Violation
COMMENTS
y ' ❑
�Q ❑
_40 ❑
❑
APPROPRIATE PERMIT ON HAND
BUSINESS PLAN CONTACT INFORMATION ACCURATE
VISIBLE ADDRESS
CORRECT OCCUPANCY
(BMC: 1.65.080)
(CCR: 2729.1)
(CFC: 505.1, BMC: 15.52.020)
(CBC: 401)
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VERIFICATION OF INVENTORY MATERIALS
VERIFICATION OF QUANTITIES
VERIFICATION OF LOCATION
PROPER SEGREGATION OF MATERIAL
VERIFICATION OF MSDS AVAILABILITY
(CCR: 2729.3)
(CCR: 2729.4)
(CCR: 2729.2)
(CCR: 2704.1)
(CCR: 2729.2,(3)(6))
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VERIFICATION OF HAZ MAT TRAINING (CCR:,2732)
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR: 2731))
EMERGENCY PROCEDURES ADEQUATE (CCR 2731)
CONTAINERS PROPERLY LABELED AjA (CCR: 66262.34(F), CFC 2703.5)
HOUSEKEEPING (CFC: 304.1)
FIRE PROTECTION (CFC: 903 & 906)
SITE DIAGRAM ADEQUATE & ON HAND (CCR 2729.2)
ANY HAZARDOUS WASTE ON SITE? ❑YES
Explain:
NO SiEnatureofReceipt
POST INSPECTION INSTRUCTIONS:
® Refer to the back of this inspection report for regulatory citations ana GurrCULlVU aL, uWu5
o Correct the violation(s) noted above by
Signature (that all violations have been corrected as noted)