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UNIFIED PROGRAM INSPECTION CHECKLIST
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SECTION 1: Hazardous Materials Business Plan
Inspection
FACILITY NAME
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ADDRESS
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FACILITY
Af. ,IONTACT
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Conse t to Inspept Name/Title , G kk
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BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326-3979
Fax: (661) 852-2171
INSPECTION DATE INSPECTION TIME
PHONE NO. NO OF EMPLOYEES
7t 4 R1 zf - h 44� k C
BUSINESS ID NUMBER
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Section 1: Business Plan and Inventory Program
L3,, ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI -AGENCY ❑ COMPLAINT ❑ RE -INSPECTION
C V C=Compliance OPERATION
V=violation: I. I I Minor
APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
CERS
Violation COMMENT
3010001
1010008
CERS INFORMATION ENTERED & UPDATED ANNUALLY (CCR: 2729.1)
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
CORRECT OCCUPANCY (CBC: 401)
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
1010004
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VERIFICATION OF QUANTITIES (CCR: 2729.4)
VERIFICATION OF LOCATION (CCR: 2729.2)
1010004
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
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VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
10,0010
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CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5)
HOUSEKEEPING (CFC: 304.1)
3030007
(%
FIRE PROTECTION (CFC: 903 & 906)
3030032
V
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
1010005 —�
Si2nature of Recei t - ---�=
ANY HAZARDOUS WASTE ON SITE? ❑ YES ff NO
Explain -
or
FD2155 (Rev 3/2019)