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UNIFIED PROGRAM INSPECTION CHECKLIST (
1 I/
SECTION 1: Hazardous Materials Business Plan -41400-'
Inspection
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661)326-3979
Far: (661)852-2171
FACILITYNAME
CERS
Violation
R
COMMENT
INSPECTION OATS
INSPECTION TIME
ADDRESS
3010001
PHONE NO.
O OF EMPLOYEES
FACILITY CONTACT
321000
BUSINESS ID NUMBER
'onsent to Inspect Name/ title
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
CORRECTOOCUPANCY (CBC: 601)
See lan
1: Business Plan and Inventory Program
ROUTINE ❑
COMBINED ❑
JOINTAGENCY Cl MULTI -AGENCY ❑ COMPLAINT ❑ RE -INSPECTION
C V Ct-U.N. OPERATION
V=Violabon; 1,11 Mina
CERS
Violation
R
COMMENT
APPROPRIATE PERMIT ON HAND BMC: 15.65.080
3010001
CERS INFORMATION ENTERED B UPDATED ANNUALLY (CCR:2M9.1)
321000
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
CORRECTOOCUPANCY (CBC: 601)
VERIFICATION OF INVENTORY MATERIALS (CCR: 279.3)
1010000
VERIFICATIONOFQUANrITIES (CCR: 2'!28.4)
1010008
VERIFICATIONOFLCCATION (COR: 2]292)
PROPER SEGREGATION OF MATERIAL (CFC: 2]04.1)
VERIFICATION OF SDS AVAILABILITY (CCR:27M.2(3)(b))
VERIFICATION OF HAZ MAT TRAINING (COR: 2732)
1020002
�uLVN
VERIFICATION OFABATEMENT SUPPLIES&PROCEDURES (CCR:2731(o))
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
101010
CONTAINERS PROPERLY LABELED (CCR: M62.34(0, CFC: 2703.5)
30007
HOUSEKEEPING (DEC: 306.1)
FIRE PROTECTION (CFC: 03&906)
030032
SUE DIAGRAM ADEQUATE &ON HAND (CCR: 279.2)
101000
NY HAZARDOUS WASTE ON SITE? ❑ YES III NO
1 fareof Remi t
xPlai n:
IrrspeMor: � - � `�-J �--
P09T JNSPECON INSTROCrI
• Correct the violations) noted above by
• Within 5 days of correcting all ofthe violation, sign and remm a copy of this page to:
Bakersfield Fire Dept. Prevention Services, 2101 H Soret, California 93301
signatures (Bis[ all violations have been comrade rroted)
Date
White -Business Copy Yellow - Sladon Copy Pink- Prevention Services M2155 (Rev 9/2017)