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UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Hazardous Materials Business Plan
Inspection
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
n9 Bakersfield, CA 93301
• Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME
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C V C= Compliance
OPERATION
INSPECTION DATE
1 I �
INSPECTION TIME
a
ADDRESS
HONE NO.
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NO OF EMPLOYEES
FACILITY CONTACT
A C
BUSINESS ID NUMBER
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APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
onsent to Inspect Name /Title
J
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.�- e, r.- c, k k
CERS INFORMATION ENTERED & UPDATED ANNUALLY (CCR: 2729.1)
1010008
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Section 1:
Business Plan and Inventory Program
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IT A r r-L Ir% Z rl ... 1. T ..- ..- ...".. , rl - -- - -• - "- "- ^ -
CORRECT OCCUPANCY (CBC: 401)
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C V C= Compliance
OPERATION
C E R S
V= Violation; 1,11 Minor
Violation CO MM ENT
V
APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
3010001
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CERS INFORMATION ENTERED & UPDATED ANNUALLY (CCR: 2729.1)
1010008
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VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
V
CORRECT OCCUPANCY (CBC: 401)
V
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
1010004
o 0`
VERIFICATION OF QUANTITIES (CCR: 2729.4)
1010004
VERIFICATION OF LOCATION (CCR: 2729.2)
1010005
PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
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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)
V rINt F'KU I LU I IUN (CFC: 903 & 906)
3030032
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
1010005
NY HAZARDOUS WASTE ON SITE? ❑ YES NO Signature ofR` ei t
xplain:
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
F132155 (Rev 3/2019)