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UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Hazardous Materials Business Plan
Insaection
BAKERSFIELD FIRE DEPT.
Prevention Services
FACILITY NAME I
RILL (AM, A I -/Z) 7I `may' e4-
INSPECTION DATE
q- (-I- /e?
INSPECTION TIME
ADDRESS �--y
/ ® n GF S 0 t.. / � �� Y
PHONE NO.
NO OF EMPLOYEES
FACILITY CONTACT
BUSINESS ID NUMBER
ems=-
Consent to (Inspect Name/Title
� ft &z .
bN �f " 1 �"t+ ` z 'J � 4
Section 1 Business Plan and Inventory Program,,,
❑ ROUTINE >C COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V C= Compliance OPERATION
v= violation; 1,11 Minor
C E R S
Violation
COMMENT
XAPPROPRIATE
PERMIT ON HAND (BMC: 15.65.080)
3010001
x
CERS INFORMATION ENTERED & UPDATED ANNUALLY (CCR: 2729.1)
1010008
v V (r P:S t+ w F®
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)
1010004
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
`!
7w
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
1010010
Y.
CONTAINERS PROPERLY LABELED (CCR: 66262.34(fl, CFC: 2703.5)
3030007
J
HOUSEKEEPING (CFC:304.1)
J
FIRE PROTECTION (CFC: 903 & 906)
3030032
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
1010005
lit
ANY HAZARDOUS WASTE ON SITE? WYES ❑ NO
Signature AfAceint
Explain:
Inspector: �S . G44 «j Ett.-
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
White — Prevention Services Yellow — Station Copy Pink — Business Copy
I
Signature (that all violations have been corrected as noted)
Date
FD2155 (Rev 3/2019)