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UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Hazardous Materials Business Plan
Inspection
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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 } t�
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INSPECTION DATE
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INSPECTION TIME
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ADDRESS
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HONE NO.
Ubi- 831-141., 1
NO OF EMPLOYEES
FACILITY CONTACT
USINESS ID NUMBER
Consent to Inspect Name /Title r
Section 1: Business Plan and Inventory Program
❑ ROUTINE ) COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V
C= Compliance OPERATION
CERS
V= Violation; I, I I Minor
Violation C O M M E N T
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)
Y
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
PROPER SEGREGATION OF MATERIAL
(CFC: 2704.1)
VERIFICATION OF SDS AVAILABILITY
CCR: 2729.2(3)(b))
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
1020002
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
1010010
x
CONTAINERS PROPERLY LABELED (CCR:
66262.34(f), CFC: 2703.5)
3030007
HOUSEKEEPING
(CFC: 304.1)
K
FIRE PROTECTION
(CFC: 903 & 906)
3030032
1�
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2)
1010005
NY HAZARDOUS WASTE ON SITE? YES
❑ NO
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Inspector: %.�� "WAT' "') Ift -11 v
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: Signature (that all violations 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)