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UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Hazardous Materials Business Plan
Inspection
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BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
o� Bakersfield, CA 93301
Tel.: (661) 326-3979
Fax: (661) 852-2171
FACILITY NAME
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INSPECTION DATE
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INSPECTION TIME
ADDRESS ff
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PHONE NO.
NO OF EMPLOYEES
FACILITY CONTACT
BUSINESS ID NUMBER
Consent to Ins Name/Title
12
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Section 1: Business Plan and Inventory Program
❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI -AGENCY ❑ COMPLAINT ❑ RE -INSPECTION
C V = ompiance OPERATION
V=Violation; I, I I Minor
CERS
Violation
COMMENT
APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
3010001
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CERS INFORMATION ENTERED & UPDATED ANNUALLY (CCR: 2729.1)
3210043
12
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VISIBLE ADDRESS _4_ (CFC: 505.1, BMC: 15.52.020)
CORRECT OCCUPANCY (CBC: 401)
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
1010004
JA V
75
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f
VERIFICATION OF QUANTITIES (CCR: 2729.4)
1010006'
VERIFICATION OF LOCATION (CCR: 2729.2)
PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
44�
VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b)}
v, MOW, Y.?
5
VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
1020002
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VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
-
1
t
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
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1010010A
0 C10
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 Signatureo ece' t
Explain:
Inspector: IZEA Vt
POST INSPECTION INSTRUCTIONS:
• Correct the violation(s) noted above by 21
• 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 9330_
Dat
White — Business Copy Yellow — Station Copy Pim --Prevention Services i FD2155 (Rev 9/2017)