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UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Hazardous Materials Business Plan
Inspection
BAKERSFIELD FIRE DEPT,
Prevention Services
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2101 H Street
Bakersfield, CA 93301
' Tel.: (661) 326-3979
' Fax: (661) 852-2171
FACILITY NAME �
a
INSPECTION DATE
I (r/1
INSPECTION TIME
ADDRESS 01
.,- 13
�PHONE NO.
NO OF EMPLOYEES
FACILITY CONTACT
BUSINESS ID NUMBER
CONSENT TO INSPECT NAME/TITLE
Ac
Section 1: Business Plan and Inventory Program
OUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI -AGENCY ❑ COMPLAINT ❑ RE -INSPECTION
C V C=Compliance OPERATION C E R S
V=violation; 1,11 Minor Violation COMMENT
ACTIVE HAZARDOUS MATERIALS PERMIT (BMC: 15.65.080) 3010001
CERS INFORMATION ENTERED & UPDATED ANNUALLY (CCR: 2729.1)
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
3210043
CORRECT OCCUPANCY (CBC: 401)
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
VERIFICATION OF QUANTITIES (CCR: 2729.4)
VERIFICATION OF LOCATION (CCR: 2729.2)
PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
1010004
1010006
VERIFICATION OF SDS AVAILABILITY -* (CCR: 2729.2(3)(b))
VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
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e2l
1020002
fisZ Z'
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
EMERGENCY PROCEDURES ADEQUATE C-. . - (CCR: 2731)
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5)
1010010
3030007
HOUSEKEEPING � � ? � , S, (CFC: 304.1)
FIRE PROTECTION (CFC: 903 & 906)4?3030032 - � �--- �.
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) 1010005
NY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO Si2nature ofReceipt
xplain:
Inspector: fl v � • f v
POST INSPECTION INSTRUCTIONS: • Correct the violation(s) noted above by a.517
2-
• 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 FD2155 (Rev 6/2021)