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UNIFIED
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UNIFIED PROGRAM INSPECTION CHECKLIST
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
NESP/ECTION DATE
INSPECTION TIME
APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
3010001
ADDRESS
HONE NO.
NO OF EMPLOYEES
CERS INFORMATION ENTERED & UPDATED ANNUALLY (CCR: 2729.1)
1010008
FACILITY CONTACT
USINESS ID NUMBER
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
Consent to Inspect Name/Title
T AI�
Section 1: Business Plan and Inventory Program
❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI -AGENCY ❑ COMPLAINT ❑ RE -INSPECTION
C v C=Compliance OPERATION
V=Violation; 1.11 Minor
CERS
ViolationCOMMENT
y
APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
3010001
CERS INFORMATION ENTERED & UPDATED ANNUALLY (CCR: 2729.1)
1010008
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
V1'
CORRECT OCCUPANCY (CBC: 401)
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
1010004
VERIFICATION OF QUANTITIES (CCR: 2729.4)
1010004
VERIFICATION OF LOCATION (CCR: 2729.2)
1010005
V-
PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b))
�r..�
VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
1020002
1,40 16,tax.►sl�it�,
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VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR -.2731(c))
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
1010010
4`
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5)
3030007
HOUSEKEEPING (CFC: 304.1)
FIRE PROTECTION (CFC: 903 & 906)
3030032
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
1010005
NY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO
Signature of Recei t:,,_4 4
txpiain:
Inspector: 8- /o'�J%/-'?
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:
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
White — Prevention Services Yellow — Station Copy Pink — Business Copy
Signature (that all violations have been corrected as noted)
Date
FD2155 (Rev 3/2019)