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UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Hazardous Materials Business Plan
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BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
3010001
ADDRESS
PHONE NO.
NO OF EMPLOYEES
INFORMATION ENTERED & UPDATED ANNUALLY (CCR: 2729.1)
(peI ) Z"n -- 7
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.
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
FACILITY CONTACT
BUSINESS ID NUMBER
�i Q! sGj% /1 i
Consent to Inspect Name /Title
Ce r f- 1, _5�iow en
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Section 1: Business Plan and Inventory Program
M ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V C= Compliance OPERATION
V= Violation; I, I I Minor
C E R S
Violation C O M M E N T
APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
3010001
JCERS
INFORMATION ENTERED & UPDATED ANNUALLY (CCR: 2729.1)
1010008
J
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
CORRECT OCCUPANCY (CBC: 401)
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
1010004
J
VERIFICATION OF QUANTITIES (CCR: 2729.4)
1010004
J
VERIFICATION OF LOCATION (CCR: 2729.2)
1010005
J
PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
J
VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b))
J
VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
1020002
1
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
J
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
1010010
J
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5)
3030007
J
HOUSEKEEPING (CFC: 304.1)
FIRE PROTECTION (CFC: 903 & 906)
3030032
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
1010005
MANY HAZARDOUS WASTE ON SITE? h YES ❑ NO
�ignature of Receipt
;Explain: /
Inspector• 1 6,6 7j- F, 9 `ZTc-.
POST INSPECTION INSTRUCTIONS:
• Correct the violation(s) noted above by
• Within 5 days of correcting all of the violations, sign and return a copy of this page to: Si (thaaqiolations have been corrected as noted)
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
Date
White — Prevention Services Yellow — Station Copy Pink — Business Copy FD2155 (Rev 3/2019)