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UNIFIED PROGRAM INSPECTION CHECKLIST
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
COMMENT
V
INSPECTION DATE
INSPECTION TIME
CjAkcs
:
-07%
1010008
PHONE NO.
NO OF EMPLOYEES
ADDRESS
ADDRESS (CFC: 505.1, BMC: 15.52.020)
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GSA il"50�
CORRECT OCCUPANCY (CBC: 401)
FACILITY CONTACT
V
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
BUSINESS ID NUMBER ,.
N
VERIFICATION OF QUANTITIES (CCR: 2729.4)
S -au -,-06 6 jJJ
Consent o spect Name/Title:
eA
:� IVA I
su%
M Mi�jw
1-9
1i
VERIFICATION OF LOCATION (CCR: 2729.2)
1010005
Section 1:
Business Plan and Inventory Program
PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
❑ ROUTINE ❑
COMBINED
❑ JOINT AGENCY ❑ MULTI -AGENCY ❑ COMPLAINT ❑ RE -INSPECTION
C V c=Compliance
OPERATION
V=Violation; 1,11 Minor
C E R S
Violation
COMMENT
V
APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
3010001
CERS INFORMATION ENTERED & UPDATED ANNUALLY (CCR: 2729.1)
1010008
VVISIBLE
r
ADDRESS (CFC: 505.1, BMC: 15.52.020)
�
CORRECT OCCUPANCY (CBC: 401)
V
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
1010004
j
V
VERIFICATION OF QUANTITIES (CCR: 2729.4)
1010004
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
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5)
3030007
HOUSEKEEPING (CFC: 304.1)
^1
FIRE PROTECTION (CFC: 903 & 906)
3030032
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
1010005
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO Sip -nature of Recei t
Explain:
Inspector: 1- Al4t-.JJ6 ,
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:
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
White — Prevention Services Yellow — Station Copy Pink — Business Copy
Signature (that all violations have been corrected as noted)
Date
FD2155 (Rev 3/2019)