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UNIFIED PROGRAM INSPECTION CHECKLIST (� I
SECTION 1: Hazardous Materials Business Plan \
Inspection
FACILITY NAME
FACILITY CONTACT
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Sled
Bakersfield, CA 93301
Tel.: (661) 326-3979
Fax: (661)852-2171
NO. OOF EMPLOYEES
Section 1: Business Plan and Inventory Program
ROUTINE ❑ COMBINED ❑ JOINTAGENCY ❑ MULTI -AGENCY ❑ COMPLAINT ❑ RE -INSPECTION
C VC-Consplianc. OPERATIONC
V_Vidabon: 1.11 Minor
a ERS
Violation
COMMENT
APPROPRATE PERMIT ON HAND @MC:i5.6a080l
3010001
CERS INFORMATION ENTERED& UPDATED ANNUALLY (CCR:2729.1)
3210043
VISIBLEADDRESS (CFC: 505.L BMC: 16.62.020)
CORRECTOCCUPANCY (CBC:401)
VERIFICATION OF INVENTORY MATERALB (CCR: 2]29.3)
1010004
VERIFICATION OF QUANTITIES (CCR:2729.4)
1010006
VERIFICATION OF LOCATION (CCR:2729.2)
PROPER SEGREGATKN40F MATERAL (CFC: 2704.1)
VERIFICATION OF SDS AVAILABILITY (CCR:27292(3)(b))
IJN IC A)
VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
1020002
JfQ K OyJ Al
VERIFKIATKN40FABATEMENTSUPPUES&PROCEDURES (C08:2731(c))
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
1010010
CONTAINERS PROPERLY LABELED (CCR: 65252.34(Q, CFC: 2703.6)
3030007
V.
HOUSEKEEPING (CFC: 304.1)
V
FIRE PROTECTION (CFC: 903&906)
3030032
SITE DIAGRAM ADEQUATE &ON HAND (CCR: 2729.2)
1010005
NY HAZARDOUS WASTE ON SITE? ❑ YES VT NO
nalweof Recel t
spial.:
Baapeetor \: _ v � `J; �
POST INSPECn()N INSTRUCTIONS:
• Coorxtthe Yiolafion(n)naNaboveby
• Within 5 days of correcting all of the violations, sign and return a copy or this page to:
Bakersfield Fire Dept., Prevention Services, 2101 H Street, Califonda 93301
Signature (deet all violations have been emrcctM as noted)
Date
White-Bminess Copy Yellow - Stafion Copy Pink- Prevention Services M2155(Rev 9/2017)