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UNIFIED PROGRAM INSPECTION CHECKLIST®�
SECTION 1: Hazardous Materials Business Plan
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H SUcet
Bakenfield, CA 93301
Tel.: (661) 326-3979
Fax: (661)852-2171
Inspection _
FACILITY NAME
NSPE ZION
DATE
I e
INSPECTION TIME
tZJs
ADDRESS
HONE NO.
❑
O OF EMPLOYEES
i0
RE -INSPECTION
CERS INFORMATION ENTERED& UPDATED ANNUALLY (CCR:2n9.1)
101WO
FACILITY CONTACT
BUSINESS ID
NUMBER
VISISLE ADDRESS (CFC: 50&1, BMC: 15.52.020)
Lee_1.- - 9
onaeM to InsiT NamNT(tle
/
u OL
VERIFICATION OF INVENTORY MATERIALS (CCR: 2)29.3)
1010004
C V C=Comar ata OPERATION
V=V.1olinf 1,11 MIna
CERS
Violation
At
Section 1: Business Plan and Inventory Program
/
ROUTINE
❑
COMBINED ❑ JOINTAGENCY ❑ MULTMGENCY ❑ COMPLAINT
❑
RE -INSPECTION
C V C=Comar ata OPERATION
V=V.1olinf 1,11 MIna
CERS
Violation
At
COMMENT
/
APPROPRIATE PERMITON HAND SMC: 1555.080)
3010001
CERS INFORMATION ENTERED& UPDATED ANNUALLY (CCR:2n9.1)
101WO
/
VISISLE ADDRESS (CFC: 50&1, BMC: 15.52.020)
CORRECT OCCUPANCY (CBC: 401)
/
VERIFICATION OF INVENTORY MATERIALS (CCR: 2)29.3)
1010004
VERIFICATION OF QUANTITIES (CCR: 27294)
1010004
/
VERIFICATION OF LOCATION (CCR: 2729.2)
1010005
/
PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
/
VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3$6))
/
VERIFICATION OF HAZ MATTRAINING (CCR: 2732)
1020002
/
VERIFICATIONOFABATEMENTSUPPLIES&PROCEDURES (CCR:2731(c))
/
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
1010010
/
CONTAINERS PROPERLY IABELED (CCR: 65262.34(0, CFC: 2703.51
3030000
/
HOUSEKEEPNG (CFC: 304.1)
FIRE PROTECTION (CFC: 9038908)
9030032
/
SITE DIAGRAM ADEQUATE &ON HAND, (CCR: 2729.2)
1010005
NY HAZARDOUS WASTE ON SITE? ❑YES NO
Issatumofftecei t
!N •I4N C -c c
IF ain /'a
x/may/y C D
3T
Inapennr: Nora
POST INSPECTION ENSTRDCTIONS:
• Coaect the viola[ion(s)noted above by /� ZU
• Within 5 days ofw ting all ofthe violations, sign mil
retam a copy of this Page to:
Bakersfield Fire Dept, P mtion Smites, 2101 H Street, California 93301
White— PTevrntion Smites Yellow—Station Copy Business Copy
Signsh. (that all violations bave been c000md as noted)
Dat
FD2.. S (Rev 32019)
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