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UNIFIED PROGRAM INSPECTION CHECKLIST
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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
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V= Violation
COMMENTS
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INSPECTION TIME
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CERS UPDATED FOR THE CURRENT CALENDAR YEAR
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(CCR: 2729.1)
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NO OF EMPLOYEES
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FACILITY CONTACT
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BUSINESS ID NUMBER
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VERIFICATION OF LOCATION
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PROPER SEGREGATION OF MATERIAL
(CFC: 5004.1)
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SAFETY DATA SHEET AVAILABILITY
(CCR: 2729.2(3)(b))
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VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
Section 1, Hazardous Materials Business Plan and Inaeniory Program "
/9„ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
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V= Violation
COMMENTS
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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)
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VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
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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)(b))
b
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VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
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VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
(CCR:2731(ell
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EMERGENCY PROCEDURES ADEQUATE
(CCR:2731)
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CONTAINERS PROPERLY LABELED (CCR: 66262.34 (1); CFC: 5003.5)
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HOUSEKEEPING
(CFC: 304.1)
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FIRE PROTECTION
(CFC: 903 & 906)
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SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2 (3))
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WASTE ON SITE? BYES ❑
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POST INSPECTION INSTRUCTIONS FOR RRTURN- 1'0- COMPLIANCL:
• Correct the violation(s) noted above by f r �,-
• 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 eftev reanrin, COmplitime Pink Prevention Services Copy M2155 (Rev 1/14)