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UNIFIED PROGRAM INSPECTION CHECKLIST ;fit SECTION 1: Hazardous Materials Business Plan ��
Inspection
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Shot[
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME
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NSPECTION DATE
NSPECTION TIME
HONE NO.
0 O EMPLOYEES
ADDRE9S D ^ O S �%✓ ( -�
CJ
FACILITY CONTACT
❑
USINE55 ID NUMBER
onsent to Inspeol NameRitle
3210043
X
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52020)
C V ompance OPERATION
V =Violation; 1,11 Minor
CERS
Violation
A
Section 1: Business Ptan and Inventory Program
ROUTINE
❑
COMBINED ❑ JOINTAGENCY ❑ MULTI - AGENCY ❑ COMPLAINT
❑
RE INSPECTION
C V ompance OPERATION
V =Violation; 1,11 Minor
CERS
Violation
A
COMMENT
AP PRIATE PEPMU ON HAND BMC: 15.&5.080
3010001
CER WFORMATIO EH8`EC UPDAT ANNUALLY (OCR: 2920.1)
3210043
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52020)
CORRECT OCCUPANCY (CEC: 01)
y
VERIFICATION OF INVENTORY MATERIALS (OCR: 2]292)
10100(8
V
VERIFICATION OF QUANTITIES (CCR: 2]28.4)
1o/D006
VERIFICATION OF LOCATION (OCR: 2]20.2)
✓
PROPER SEGREGATION OF MATERIAL (CFC=.2704.1)
VERIFICATION OF SDS AVAILABILITY (CCR:2720.2(3)(b))
VERIFICATION OF HAZ MAT TRAINING (CCR: 2]32)
1oagea
Y
VERIFICATKK OFABATEMENTSUPPLIES &PROCEDURES (CCR:2731(e))
/
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
1o10010
C �Ji
RICti<D0, ( n Sim II
CONTAINERS PROPERLY LABELED (OCR: 65262.31 CFC: 2]03.5)
3050007
HOUSEKEEPING (CFC: 304.1)
FIRE PROTECTION (CFC: 003 &000)
3030032
SUE DIAGRAM ADEQUATE &ON HAND (CDR: 2]29.2)
1010005
NY HAZARDOUS WASTE ON SITE? ❑ YES ET NO
>M Of
plain:
Impector: /K , 1VL& UGKJR -..
POST INSPECTION ENSTROCTIONS:
• Carted the vmlinciss) noted above by
• Within 5 days of cornering all of the violations, sip and retain a copy of this page to:
Bakersfield Pre Dept., Prevention Services, 2101 H Street, California 93301
Signstare (fast all violations have been contested as noted)
Date
White - Business Copy Yellow - Sonion Copy Rnk- Prevention Services M2155 (Bev 9/2017)
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