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UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Hazardous Materials Business Plan
Inspection
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661)326-3979
Fa,: (661)852-2171
FACILITYJAME
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W"A
NSPECTION DATE
5-,
INSPECTION TIME
II IS
ADDRESS
APPROPRIATE PERMIT ON HAND MG: meam
-HONE NO.
OOF
BLOYEES
COMBINED ❑ JONTAGENCY ❑ MULTI -AGENCY ❑ COMPLAINT
❑
RE -INSPECTION
FIBILITYCONTACT
l'tZ
1 _
USINE$S ID NUMBER
�l. j i ILI
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Dose Inspect Name'Ti0c
CORRECT OCCUPANCY (CBC: 401)
C V 'a"`a OPERATION
V_Vidatan; 1,11 Minor
CERS
Violation
#
COMMENT
Section 1: Business Plan and Inventory Program
APPROPRIATE PERMIT ON HAND MG: meam
❑
ROUTINE
❑
COMBINED ❑ JONTAGENCY ❑ MULTI -AGENCY ❑ COMPLAINT
❑
RE -INSPECTION
C V 'a"`a OPERATION
V_Vidatan; 1,11 Minor
CERS
Violation
#
COMMENT
APPROPRIATE PERMIT ON HAND MG: meam
3010001
CERS INFORMATION ENTERED B UPDATED ANNUALLY (CCR: 2]28.1)
8210043
VISIBLE ADDRESS (CFC: WEE BMC: 15.52020)
pp
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CORRECT OCCUPANCY (CBC: 401)
VERIFICATION OF NVIVELE MATERIALS (CCR: 2]28.3)
lolo004
VERIFICATIONOFOUANTRIES (CCR: 2]29.4)
1010006
VERIFICATION OF LOCATION (CCR: 2728.)
PROPER SEGREGATION OF MATERIAL (CFC:2704.1)
VERIFICATION OF SDS AVAILABILITY (CCR: 2728.2(3)(b))
VERIFICATION OF HAZ MATTRAINING (CCR: 2732)
1020002
VERIPICATIONOFABATEMENTSUPPLIESa PROCEDURES (CGC2731(c))
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
1010010
CONTAINERS PROPERLY LABELED (CCR 8B262.34(Q, CFC 2]03.5)
3030007
HOUSEI(EEPING (CFC: 304.1)
FIRE PROTECTION (CFC: 9038 HOB)
3030032
SITE DIAGRAM ADEQUATE 8 ON HAND (CCR: 2728.2)
1010005
NY HAZARDOUS WASTE ON SITE? 11 YES O
1 to of Reai t
plain:
Ina,antor: IN I /h M l { J 2—
Pon
POST NSP CPION INSTRUCTIONS:
• Cored the violatior(s) robed above by
• Within 5 days of coae ing at[ of the violations, sign and mum a copy of this page to:
RAkeobfieltl Fire Dept, Prevention Services, 2101 H Street. California 93301
White- Bovines. Copy Yellow -Station Copy Pink- Prevention Services
Signature (that ell violations have been corrected as noted)
Data
FD2155 (Rev 92017)