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'10 1 NCHECKLIST Bakersfield, CA 03301 Vi
UNIFIED PROGRAM INSPECT
SECTION 1: Hazardous Materials Business Plan Fax: (661),852-2171
Inspection
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FACILITY NAME...-
INSPECTION DATE
INSPECTION TIME
ADDRESS
PHONE NO. (Sii6
No OF.,Ej%RLOYEES
FACILITY CONTACT,
USINESS ID NUMBER
Consent to Inspect Name/Title
0 COMBINED El JOINT AGENCY LJ MULTI-AGENCY Li UUMVLAIN I MM-1114orr-t-1 I Milm
CERS
COMMENT
V=Violation; 1,11 Minor
Violation
'PRIATE PERMIT ON HAND mo)
3010001
CERSINFORMATION ENTERED & UPDATED ANNUALLY (CCR: 2729.1)
1010008
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
_,,CORRECT OCCUPANCY
,-'VERIFICATION OF INVENTORY MATERIALS 2729.3)
1010004
RIFICATION OF QUANTITIES
1010004
VERIFICATION OF LOCATION (CCR: 2729.2)
1010005
PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
VERIFICATION OF SDS AVAILABILITY
VERIFICATION OF HAZ.MAT TRAINING (CCR: 2732)
1020002
VERIFICATION OF ABATEMENT, SUPPLIES.& PROCEDURES (CCR:2731(c))
CONTAINERS PROPERLY LABELED (CCR: 66262.34(�, CFC: 2703.5)
3030,007
Ile
HOUSEKEEPING (CFC: 304.1)
(CFC: 903 & 906)
FIRE PROTECTION
303003
SITE DIAGRAM ADEQUATE & ON HAND (CCR:,2729.2)
1010005
iy) /")jr,
ANY HAZARDOUS WASTE ON SITE? "YES El NO
Signature of
Resgipt
POST 1�49_WMC'$ON 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 Prevention Services 'op