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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 `'
INNS�PECCTIIOON
DATE
INSPECTION TIME
APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
3010001
ADDRESS d r
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NO�
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NO OF EMPLOYEES
1
FACILITY CONTACT
BUSINESS
ID NUMBER
Consent to Inspect Name/T' —
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ection 1 Business Plan and Inventory Program
C E R S
Violation
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT
❑ RE- INSPECTION
C V c= Compliance
OPERATION
V= Violation; 1,11 Minor
C E R S
Violation
COMMENT
APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
3010001
CERS INFORMATION ENTERED & UPDATED ANNUALLY (CCR: 2729.1)
1010008
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
CORRECT OCCUPANCY (CBC: 401)
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
10 i 0004
VERIFICATION OF QUANTITIES (CCR: 2729.4)
1010004
i
VERIFICATION OF LOCATION (CCR: 2729.2)
1010005
PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b))
VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
1020002
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VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
I
yx
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
1010010
yx
CONTAINERS PROPERLY LABELED (CCR: 66262.34(1), CFC: 2703.5)
3030007
HOUSEKEEPING (CFC: 304.1)
I
FIRE PROTECTION (CFC: 903 & 906)
3030032
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
1010005
i
4.NY HAZARDOUS WASTE ON SITE? YES ❑ NO 77pi
nature oi
ReceilDt
Explain:
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Inspector:
POST INMP CTION 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
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Signature (that all violations have been corrected as noted)
Date
White — Prevention Services Yellow — Station Copy Pink — Business Copy FD2155 (Rev 3/2019)