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UNIFIED PROGRAM INSPECTION CHECKLIST
Haz-Mat Business Plan and Inventory Program
a BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
FACILITY NAME f I
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INSPECTION DATE,
INSPECTION TIME
ADDRESS
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pf
HONE NO. _...
O OF EMPLOYEES
FACILITY CONTACT
BUSINESS ID NUMBER
Consent to Inspect Name/ itl
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Section 1 « HazardaUs Materials Business Plan and Inventory Program
3—ROUTINE ❑ COMBINED ❑ JOINT AGENCY
❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
v
( C= Compliance OPERATION
WViolation
COMMENTS
❑
Q.
VISIBLE ADDRESS (CFO: 505.1, BMC: 15.52.020)
❑
❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
2- L /1QS
❑
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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)
0
❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
❑
PROPER SEGREGATION OF MATERIAL
(CFC: 5004.1)
)
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❑
SAFETY DATA SHEET AVAILABILITY
(CCR: 2729.2(3)(b))
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I
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(Ll
❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
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❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
(CCR:2731(c))
❑
❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
0
❑
CONTAINERS PROPERLY LABELED (CCR: 66262.34 (1); CFC: 5003.5)
-
1.
❑
❑
HOUSEKEEPING
(CFC: 304.1)
M.-
❑
FIRE PROTECTION
(CFC: 903 & 906)
k
❑
❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? El YES ❑`NO
Explain:
Signature of Receipt:
POST INSPECTION INSTRUCTIONS FOR RETURN =1'0- 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)
Whim - Business C., Yellow- Buda...COpy to be Sentm afmr rtt.. to Compliance PJA PRVWIIOa Servlcas Copy M2155 ntev 1/14)