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BAKERSFIELD FIRE DEFT.
Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST 2101 H Street
Bakersfield, CA 93301
SECTION 1: Hazardous Materials Business Plan Tel.: (661) 326-3979
Inspection � Fax: (661) 852-2171
FACILITY NAME /� INSPECTION DATE INSPECTION TIME
E
ADDRESS PHONE NO. NO OF EMPLOYEES
G
BUSINESS ID NUMBER
FACILITY CONTACT
CONSENT TO INSPECT NAME/TITLE
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Section 1:
Business Plan and Inventory Program
❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI -AGENCY ❑ COMPLAINT
C V C=Compliance OPERATION , C E RS
V=Violation; 1,11 Minor Violation
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ACTIVE HAZARDOUS MATERIALS PERMIT (BMC: 15.65.080) 3010001
CERS INFORMATION ENTERED & UPDATED ANNUALLY (CCR: 2729.1) 3210043
VISIBLE ADDRESS
(CFC: 505.1, BMC: 15.52.020)
CORRECT OCCUPANCY
(CBC: 401)
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
1010004
VERIFICATION OF QUANTITIES
VERIFICATION OF LOCATION
PROPER SEGREGATION OF MATERIAL
(CCR: 2729.4)
(CCR: 2729.2)
(CFC: 2704.1)
1010006
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
❑ RE -INSPECTION
COMMENT
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 Si nature of Receipt
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Explain: VLA
Inspector: v — ` - V"'' ` X., A 4>4_
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 — Business Copy Yellow --- Station Copy Pink — Prevention Services
Signature (that all iolations have been corrected as noted)
NA
Date � je
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