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UNIFIED PROGRAM INSPECTION CHECKLIST C� rI 1)
SECTION 1: Hazardous Materials Business Plan
Inspection
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME
CERS
Violation
A
Section 1: Business Plan and Inventory Program
INSPECTION DATE
INSPECTION TIME
ROUTINE
❑
COMBINED ❑ JOINTAGENCY ❑ MULTI AGENCY ❑ COMPLAINT
❑
RE- INSPECTION
ADDRESS
3210043
HONE NO.
O OF EMPLOYEES
VISIBLE ADDRESS (CFO: 505.1, BMC: 15.52.020)
✓
CORRECTOCCUPANCY (DEC: 401)
rt
FACILITY CONTACT
1010004
3USINESS ID NUMBER
'she
1010006
Onagnt to Inspect NameRitle
PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
/
VERIFICATION OF SDS AVAILABILITY (OCR: 27EB2(3)(bp
C V ompance OPERATION
V =Violation: Li Minor
CERS
Violation
A
Section 1: Business Plan and Inventory Program
ROUTINE
❑
COMBINED ❑ JOINTAGENCY ❑ MULTI AGENCY ❑ COMPLAINT
❑
RE- INSPECTION
C V ompance OPERATION
V =Violation: Li Minor
CERS
Violation
A
COMMENT
APPROPRIATE PERMIT ON HAND (BMC: 15.65.080 )
3010001
CERS INFORMATION ENTERED& UPDATED ANNUALLY (CCR: 2729.1)
3210043
VISIBLE ADDRESS (CFO: 505.1, BMC: 15.52.020)
✓
CORRECTOCCUPANCY (DEC: 401)
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
1010004
VERIFICATION OF QUANTITIES (CCR:229.4)
1010006
VERIFICATION OF LOCATION (OCR: 2]29.2)
PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
/
VERIFICATION OF SDS AVAILABILITY (OCR: 27EB2(3)(bp
VERIFICATION OF HAZ MAT TRAINING (CCH:232)
1020002
/
VERIFICATION OF ABATEMENT SUPPLIES &PROCEDURES (CCR:2731(c))
EMERGENCY PROCEDURES ADEQUATE (CDR: 2731)
1010010
CONTAINERS PROPERLY LABELED (MR: 6828234(1), CFC: 2703.5)
3030007
HOUSEKEEPING (DEC: 304.1)
FIRE PROTECTION (CFO: 803 & 806)
3030032
SITE DIAGRAM ADEQUATE &ON HAND (0011:229.2)
1010005
NY HAZARDOUS WASTE ON SITE? ❑ YES O
lure of t
xPlaln:
Hnpector. r Y " V
POST INSPIR S U TIONS:
• Coons, 1be violation(s) noted above by
• Within 5 days ofcortecting all of the violations, sign and Him a copy of this page to:
Bakersfield Fire Dept., Prevention Services, 2101 H Streit, California 93301
White - Business Copy Yellow - Station Copy Pick - Prevention Services
f )
Si te(dim an violations he wrrecteda oted)
Done
FD2155 (Rev 9n017)