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UNIFIED PROGRAM INSPECTION CHECKLIST
Haz-Mat Business Plan and Inventory Program
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BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME 1
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IN P CTION DATE
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INSPECZT}IO�N TIME
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ADDRESS
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PHONE Np. r '
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NO OF F LOYEES
FACILITY CONT
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BUSINESS ID NUMBER
onsent to Inspect Name/Title '
Section 1; Hazardous Ma #eriaTs BUS[ess- Rlat~.8nd lnveht3lry PTOgram
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ROUTINE ❑ COMBINED ❑ JOINT AGENCY
❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
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( C =compliance) OPERATION
V= Violation
COMMENTS
❑
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
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❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
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❑
CERS UPDATED FOR THE CURRENT CALENDAR YEAR
(H &S 25404(e)
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❑
BUSINESS PLAN CONTACT INFORMATION ACCURATE
(CCR:2729.1)
❑"
❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
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❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
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❑
PROPER SEGREGATION OF MATERIAL
(CFC: 5004.1)
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❑
SAFETY DATA SHEET AVAILABILITY
(CCR: 2729.2(3)(h))
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❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
(CCR:2731(c))
❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
❑
CONTAINERS PROPERLY LABELED (CCR: 66262.34 (1); CFC: 5003.5)
❑
HOUSEKEEPING
(CFC: 304.1)
❑
FIRE PROTECTION
(CFC: 903 & 906)
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❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2 (3))
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POST INSPPCTIO14 INSTRUCTIONS FOR RETURN -TO- COMPLIANCE:
• 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 - Business Copy to be Sent in afar return to Compliance Pink Prevention Services Copy FD2155 (Rev 1/14)