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UNIFIED PROGRAM INSPECTION CHECKLIST
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SECTION 1: Hazardous Materials Business Plan
Inspection
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661).326-3979
Fax: (661) 852 -2171
FACILITY NAME
C E R S
Violation C O M M E N T
#
INSPECTION DATE
INSPECTION TIME
APPROPRIATE PERMIT ON HAND (BMC. 15.65 080 )
3010001
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CERS INFORMATION ENTERED 8c UPDATED ANNUALLY (CCR: 2729.1)
1010008
ADDRESS
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
HONE NO.
NO OF EMPLOYEES
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CA 0, 1 -e
FACILITY CONTACT
BUSINESS ID NUMBER
Consent to Inspect Name /Title
1010004
VERIFICATION OF QUANTITIES (CCR: 2729.4 )
Section 1: Business Plan and Inventory Program
❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V C= Compliance OPERATION
V= Violation; 1,11 Minor
C E R S
Violation C O M M E N T
#
APPROPRIATE PERMIT ON HAND (BMC. 15.65 080 )
3010001
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if, e
CERS INFORMATION ENTERED 8c UPDATED ANNUALLY (CCR: 2729.1)
1010008
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
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CORRECT OCCUPANCY (CBC: 401)
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
1010004
VERIFICATION OF QUANTITIES (CCR: 2729.4 )
1010004
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VERIFICATION OF LOCATION (CCR: 2729.2)
1010005
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
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r
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5)
3030007
HOUSEKEEPING (CFC: 304.1)
FIRE PROTECTION (CFC: 903 & 906)
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
3030032
1010005
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;ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO
Si2nature of Recd pt
;Explain:
Inspector:
POST INSPECTION INSTRUCTIONS:
• Correct the violation(s) b b
�s ) note above Y
• NVithin 5 days of correcting all of the violations, sign and return a copy of this page to:
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
Date
Pink — Business Cope
`White — Prevention Services Yellow — Station Copy
Signature (that all violations have been corrected as noted)
FD2155 (Rev 3/2019)
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