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BAKERSFIELD FIRE DEPT.
Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST2101 H Street
Bakersfield, CA 93301
SECTION 1: Hazardous Materials Business Plan Tel.: (661) 326-3979
Inspection Fax: (661) 852-2171
FACILITY NAME
ADDRESS
FACILITY CONTACT --
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CONSENT TO INSPECT NAME/TITLE
SF
NSPECTION DATE
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'HONE NO.
USINESS ID NUMBER
INSPECTION TIME
O OF EMPLOYEES
Section 1: Business Plan and Inventory Program
❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI -AGENCY ❑ COMPLAINT ❑ RE -INSPECTION
C u C=Compliance OPERATION
V=Violation; I, I I Minor --]Violation
ACTIVE HAZARDOUS MATERIALS PERMIT (BMC: 15.65.080)
C E R S;
'
3010001
COMMENT
CERS INFORMATION ENTERED & UPDATED ANNUALLY (CCR: 2729.1)
3210043
(�q_ l - Z
-_ -
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)
1010006
VERIFICATION OF LOCATION (CCR: 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)
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1010010
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CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5)
HOUSEKEEPING (CFC: 304.1)
3030007
FIRE PROTECTION (CFC: 903 & 906)
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
NY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO
3030032
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1010005
Signature of Receipt
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Explain:
Inspector:
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
Signature (that all violations have been corrected as noted)
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White - Business Copy Yellow -- Station Copy Pink - Prevention Services
Date
FD2155 (Rev 6/2021)