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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 (/
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IN jPECTION DATE
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INSPECTION TIME
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ADDRESS
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PHONE NOF;
O OF EMPLOYEES
FACILITY CONTACT --- J
BUSINESS ID NUMBER
or.sent to Inspect
Name /Title
Section 1:'Haxardotis Matedgis Suslness Ptan and lnventcry;t?rogram
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
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C= Compliance OPERATION
V= Violation
COMMENTS
10
❑
VISIBLE ADDRESS
(CFC: 505.1, BMC: 15.52.020)
❑
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)
❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
D1
❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
19
❑
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)
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❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731(c))
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❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
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❑
CONTAINERS PROPERLY LABELED
(CCR: 66262.34 (f); CFC: 5003.5)
❑
HOUSEKEEPING
(CFC: 304.1)
19
❑
FIRE PROTECTION
(CFC: 903 & 906)
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❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2 (3))
NY HAZARDOUS WASTE ON SITE? ❑ YES IR NO
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Explain:
i nature of Recei t: /� )
POST INSPECTIONTNSTRUCTIONS 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 - &1inws Copy Yellow - fl.iMess Cap, mb Sent In after rcwmw C.,plinncc PIN: lycvention Se,w. Copy M2155 (Rev 1114)