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UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Hazardous Materials Business Plan v
Inspection
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME
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INSPECTION DATE
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'INSPECTION TIME
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ADDRESS
O lVin: ` -1
PHONE NO.
k y ,l; i •7
NO OF EMPLOYEES
FACILITY CONTACT
fir/!' el- I " lre,*t
1010008
BUSINESS ID NUMBER
7�
Consent to Inspect Name /Title
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
1
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Section 1: Business Plan and Inventory Program
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C V C= Compliance
OPERATION C E R S
V= Violation; 1,11 Minor Violation COMMENT
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APPROPRIATE PERMIT ON HAND BMC: 15. 5. 3010001
( 6 080)
CERS INFORMATION ENTERED & UPDATED ANNUALLY (CCR: 2729.1)
1010008
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
1
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CORRECT OCCUPANCY (CBC: 401)
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
1010004
VERIFICATION OF QUANTITIES (CCR: 2729.4)
1010004
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VERIFICATION OF LOCATION (CCR: 2729.2)
1010005
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PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b))
v
VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
1020002
J
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR-.2731(c))
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
1010010
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5)
3030007
J
HOUSEKEEPING (CFC: 304.1)
J
FIRE PROTECTION (CFC: 903 & 906)
3030032
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
1010005
ANY HAZARDOUS WASTE ON SITE? m YES ❑ NO
i nature of Recei t
Explain:
Inspector: \?.
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
Signature (that all violations have been corrected as noted)
Date
White — Prevention Services Yellow — Station Copy Pink — Business Copy FD2155 (Rev 3/2019)