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UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Hazardous Materials Business Plan
Inspection
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
04
Bakersfield,
CA 93301
• . • Tel.: (661)'326-3979
Fax: (661) 852 -2171
FACILITY NAME f
INSPECTION DATE
INSPECTION TIME
APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) 3010001
ADDRESS
7a) 44/f9*^ 4 /Vey.'
PHONE NO.
NO OF EMPLOYEES
FACILITY CONTACT
MCA'so
BUSINESS ID NUMBER
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
*%. C y-
— 013
7V
Consent to Inspect Name /Title
CORRECT OCCUPANCY (CBC: 401)
pm e
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
1010004
Section 1:
Business Plan and Inventory Program
VERIFICATION OF QUANTITIES (CCR: 2729.4)
® ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MUI TI- ACFN('Y I-1 r.nnAPI AiNT
C V C= Compliance OPERATION C E R S
V= Violation; 1,11 Minor Violation COMMENT
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)
OC
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)
,00ed
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
V1
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
ANY HAZARDOUS WASTE ON SITE? YES ❑ NO
Si2jRature ofReceiiDt
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: 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)