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UNIFIED PROGRAM INSPECTION CHECKLIST ib9
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
INSPECTION DATE
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INSPECTION TIME
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ACTIVE HAZARDOUS MATERIALS PERMIT (BMC: 15.65.080)
ADDRESSPHONE
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NO. NO OF EMPLOYEES
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FACILITY CONTACT
BUSINESS ID NUMBER
Consent to Inspect Name/Title
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I -z -: • Section 1: Business Plan and Inventory Program
try --.e ❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI -AGENCY ❑ COMPLAINT ❑ RE -INSPECTION
C V C=Compliance OPERATION
V=Violation; 1,11 Minor
CERS
Violation
COMMENT
ACTIVE HAZARDOUS MATERIALS PERMIT (BMC: 15.65.080)
3010001
�,CERS INFORMATION ENTERED & UPDATED ANNUALLY (CCR: 2729.1)
.
1010008.1
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02
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
CORRECT OCCUPANCY (CBC: 401)
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
1010004
VERIFICATION OF QUANTITIES 3 (CCR: 2729.4)
1010006
VERIFICATION OF LOCATION (CCFi: 2729.2)
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)
FIRE PROTECTION (CFC: 903 & 906)
3030032
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SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
1010005
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO
Si2natureofReceipt
Explain:
Inspector• kix AA 04L�-
POST INSPECTION INSTRUCTIONS: ,, �,j
• 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 — Business Copy Yellow — Station Copy Pink — Prevention Services
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Signature (that all violation2 Have been corrected as noted)
Date
FD2155 (Rev 6/2021)