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UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Hazardous Materials Business Plan
Inspection
FACILITY NAME
ADDRESS
FACILITY CONTACT
ONSENT TO INSPECT NAME/TITLE
BAKERSFIELD FIRE DEPT.
• Prevention Services
' 2101 H Street
1�Ir�
Bakersfield, CA 93301
Tel.: (661) 326-3979
Fax: (661) 852-2171
INSPDATE FINECTIONSPECTION TIME
HONE NO. INO OF EMPLOYEES
USINESS ID NUMBER
Section 1: Business Plan and Inventory Program
❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI -AGENCY ❑ COMPLAINT ❑ RE -INSPECTION
�; V C=Compliance OPERATION CERS -- ---
V=violation; I, I I Minor Violation COMMENT
ACTIVE HAZARDOUS MATERIALS PERMIT (BMC: 15.65.080) 3010001
CERS INFORMATION ENTERED He UPDATED ANNUALLY— (CCR 2729.1) 3210043
VISIBLE ADDRESS — —— — — (CFC: 505-1, BMC: 15.52.020) t'f-o-41*8e
CORRECT OCCUPANCY
(CBC: 401)
-
'-',6A C
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) 1010010
CONTAINERS PROPERLY LABELED
(CCR: 66262.34(f), CFC: 2703.5) 3030007
1
HOUSEKEEPING
(CFC: 304.1)
--
FIRE PROTECTION
(CFC: 903 & 906)
a. � t 49AA,S
r-
3030032
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2)
1010005
5 0 -\J
rokP
". Side
NY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO Si nature of Recei t
a
Inspector: AA - r
Ldot Lg>q.,;:L
POST INSPECTION INSTRUCTIONS:
• Correct the violation(s)noted above b
Y I�
• 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)
Date
White — Business Copy Yellow — Station Copy Pink -- Prevention Services FD2155 (Rev 6/2021)