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UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Hazardous Materials Business Plan
Inspection
�EPAQ�
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93.31 01
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY I�ME
i ! � t CX.- � � l �. �r'�
C; VV� i
1NSPE TION DATE
b 0
INSPECTION TIME
15000,
ADD SS
L"
l .
HONE NO.
BUSINESS ID NUMBER
NO OF EMPLOYEES
C.)1.r
FACILITY CONTACT
Consent to Inspect Name /Title
1010004
Section 1: Business Plan and Inventory Program
IV ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V C= Compliance OPERATION C E R S
V= Violation; 1,11 Minor Violation COMMENT
I #
v
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)
Inspector• ;?-L- i
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 iolations have been corrected as noted)
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
Date
?019)
White - Prevention Services Yellow - Station CoPy Pink - Business Copy FD2155 (Rev 3!`
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))
VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
1020002
/
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
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
Si2nature of Receipt
E xplain:
Inspector• ;?-L- i
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 iolations have been corrected as noted)
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
Date
?019)
White - Prevention Services Yellow - Station CoPy Pink - Business Copy FD2155 (Rev 3!`