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UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Hazardous Materials Business Plan
Inspection
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME
_,.,
�S
INSPECTION DATE
/ o ! l S` 1( �-
INSPECTION TIME
ADDRESS
PHONE NO. NO OF EMPLOYEES
APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
3010001
BUSINESS ID NUMBER
FACILITY CONTACT
CERS INFORMATION ENTERED & UPDATED ANNUALLY (CCR: 2729.1)
3210043
Consent to Inspect Name/Title
-
Section 1`: Business Plan wind Inventory Program
O N AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT
-
ROUTINE ❑ COMBINED ❑ JOINT A ❑ RE- INSPECTION
C V = ompiance OPERATION
V =violation; 1,11 Minor
CERS
Violation
COMMENT
)c
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 (CCR: 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
HOUSEKEEPING (CFC: 304.1)
FIRE PROTECTION (CFC: 903 & 906)
3030032
�d
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
1010005
- ANY HAZARDOUS WASTE ON SITE? ❑ YES CIO
i natureofRecei t
Explain:
Inspector: "E�; -- '-N <ZD\
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:
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
Signature (that all violations have been corrected as noted)
Date
White — Business Copy Yellow — Station Copy Pink — Prevention Services FD2155 (Rev 9/2017)