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UNIFIED PROGRAM INSPECTION CHECKLIS(00,
I
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
'
NSPECTION DATE
IN SPECTy ION TIME
ADDRESS
rn
,HONE NO
NO OF EMPLOYEES
1
FACILITY CONTACT
Mi f 7, as
ti
BUSINESS ID NUMBER
anent to Inspect Nnma?itle
Section 1: Business Plan and Inventory Program
ROUTINE ❑ COMBINED ❑ JOINTAGENCY ❑ MULTI-AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V
C.Cnmpllence OPERATION
V= Vlolaeon; 411 Mbwr
CERS
Violation
COMMENT
APPROPRIATE PERMIT ON HAND
MC: 15.65.080
3010001
/
CERS INFORMATION ENTERED B UPDATED
ANNUALLY (CCR: 2729.1)
3210043
VISIBIEADDRESS
(CFC: 505.1. BMC: 15.52.020)
CORRECTOCCUPANCY
(CBC: 401)
/
VERIFICATION OF INVENTORY MATERIALS
(CCR:2729.3)
1010004
VERIFICATION OF QUANTRIES
(CCR:2729.4)
1010008
VERIFICATION OF LOCATION
(CCR: 2729.2)
PROPER SEGREGATION OF MATERIAL
(CFC: 2704.1)
VERIFICATION OF BOB AVAILABILITY
(CCR 2729.2(3)(6))
VERIFICATION OF HAZ MAT TRANING
(CCR: 2732)
tD26e02
VERIFICATION OFABATEMENT SUPPUE5 &PROCEDURES (CCR:2731(c))
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
1010010
CONTAINERS PROPERLY LABELED
(CCR: 66262.34(9. CFC: 2703.6)
3030007
/
HOU$6MEEPING
(CFC: 304.1)
FIRE PROTECTION
(CFC: 9038901
3030032
SITE DIAGRAM ADEQUATE &ON HAND
(CCR: 2729.2)
1010005
NY HAZARDOUS
WASTE ON SITE?
❑ NO
an,
f ' t
plain:
Inspector: •J{4��. "
POST INSPECTION INSTRUCTIONS:
• Correct the vhlatlon(s) noted above by
• Within 5 days of correcting all ofthe viotatires. sign and return a copy ofthis page to:
Bakersfield Fire Dept., Prevention Services, 2101 11 Street, California 93301
White — Business Copy Yellow — Station COPY Plnk— Prevention Services
T
Signawre (Thal all violatiens have been earromed as noted)
Date
FD2155 (Be, 9/2017)