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UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Hazardous Materials Business Plan
Inspection �,�_ ,-^, A ,j /71 J
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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 V�k%'IL
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INSPECTION DP4TE
INSPE TION TIME
ADDRESS
HONE NOS .�
NO OF PLOYEES
FACILITY CONTA T
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BUSINESS ID NUMBER
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onsen,,to Inspect Name /Title
r t c A
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
Section 1: Business Plan and Inventory Program
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V C= Compliance OPERATION C E R S
V= Violation; 1,11 Minor Violation
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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)
CORRECT OCCUPANCY (CBC: 401)
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
1010004
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VERIFICATION OF QUANTITIES (CCR: 2729.4)
VERIFICATION OF LOCATION (CCR: 2729.2)
PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
1010004
1010005
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)
YC
COMMENT
2( riKt FKU I tU I IUN (CFC: 903 & 906) 3030032
o4 . SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
1010005
%NY HAZARDOUS WASTE ON SITE? ❑ YES NO Signature of Receipt
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Explain:
Inspector• ( �'�
POST INSP � TION rtion( ST RU
• Correct t e viol s) no d above by
• Within 5 days o e6 'ng a ll of the violations, sign and return a copy of this page to: Si atpre (that all violation 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)