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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 V
k.)Aler eo'-
INSPECTION DATE
1212,02 Z
INSPECTION TIME
ADDRESS
//303
PHONE NO.
NO OF EMPLOYEES
FACILITY CONTACT
BUSINESS ID NUMBER
CONSENT TO INSPECT NAME/TITLE
i
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 COMMENT
#
ACTIVE HAZARDOUS MATERIALS PERMIT (BMC: 15.65.080
-
3010001
f QA.A eo f
CERS INFORMATION ENTERED & UPDATED ANNUALLY (CCR: 2729.1)
3210043
_ _ / o Ce - f
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
0
� � . /���
1 V
CORRECT OCCUPANCY (CBC: 401)
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
1010004
VERIFICATION OF QUANTITIES (CCR: 2729.4)
1010006
�.
VERIFICATION OF LOCATION (CCR: 2729.2)
PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b))
j
VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
1020002
Ll
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
Of
k-
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5)
1010010
3030007
_f
HOUSEKEEPING (CFC: 304.1)
FIRE PROTECTION (CFC: 903 & 906)
3030032
j
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
1010005
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ 140
i nature ofRecei t
Explain:
Inspector:
POST INSPECTION INSTRUCTIONS: 07
• Correct the violation() by
noted above b f
• 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 93301
Date
White — Business Copy Yellow — Station Copy Pink — Prevention Services FD2 155 (Rev 6"2021)