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UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Hazardous Materials Business Plan
Inspection
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
o� Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
ADDRESS
�HON� NO.
NO OF EMPLOYEES
JCERS
FACILITY CONTACT -BUSINESS
_111cw
ID NUM ER
e.
07%67..,06
1 Section 1: Business Plan and Inventory Program
ED ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V C= Compliance OPERATION
V= Violation; 1,11 Minor
C E R S
Violation j COMMENT
JAPPROPRIATE
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)
f
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
1010004
f
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
J
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
1010010
JCONTAINERS
PROPERLY LABELED (CCR: 66262.34(fl, 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
NY HAZARDOUS WASTE ON SITE? ® YES ❑ NO
ignature of Recei t r "
Explain:
d 6 l6S'ed e
Inspector: -Z) .
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 Smices, 2101 H Street, California 93301
Nkliite — Prevention Services Yello«� — Station Copy Pink — Business Copy
Signature (that all violations have been corrected as noted)
Date
FD2155 (Rev 3/2019)