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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 Gj
Tel.: (661) 326-3979 j
Fax: (661) 852-2171
FACILITY NAME
CER S
Violation
COMMENT
INSPECTION DATE
INSPECTION TIME
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L -$R EAS + A. Z92J
PHONE NO.
NO OF EMPLOYEES
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FACILITY CONTACT
BUSINESS ID NUMBER
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
1010004
0 z
Consent to Inspect Name/Title
f �(Z
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VERIFICATION OF QUANTITIES (CCR: 2729.4)
A -
Section 1: Business Plan and Inventory Program
❑ ROUTINE ❑
COMBINED ❑ JOINT AGENCY ❑ MULTI -AGENCY
❑ COMPLAINT ❑ RE -INSPECTION
C v C=Compliance OPERATION
V=violation; I, I I Minor
CER S
Violation
COMMENT
APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
3010001
CERS INFORMATION ENTERED & UPDATED ANNUALLY (CCR: 2729.1)
1010008
L -$R EAS + A. Z92J
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
CORRECT OCCUPANCY (CBC: 401)
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
1010004
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
01
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
t -
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
1010010
CONTAINERS PROPERLY LABELED (CCR: 66262.34(fl, 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
i nature of Recei t
Explain:
Inspector: f' kme-25-
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)