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UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Hazardous Materials Business Plan
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Inspection
BAKERSFIELD FIRE DEPT.
Prevention Services
• 2101 H Street
Bakersfield, CA 93301
' Tel.: (661) 326-3979
Fax: (661) 852-2171
FACILITY NAME / f _._ _ INSPECTION DATE INSPECTION TIME
ADDRESS PHONE NO. NO OF EMPLOYEES
FACILITY CONTACT BUSINESS ID NUMBER
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CONSENT TO INSPECT NAME/TITLE
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Section 1:
Business Plan and Inventory Program
❑
C V
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI -AGENCY ❑ COMPLAINT
C=Compliance OPERATION C E R S
V=Violation; I,11 Minor Violation
ACTIVE HAZARDOUS MATERIALS PERMIT (BMC: 15.65.080) 3010001
❑ RE -INSPECTION
COMMENT
C E R S INFORMATION ENTERED & UPDATED ANNUALLY (CCR: 2729.1)
3210043
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LD C C 4Q 5
CLP
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
V {'
J I ('k'V4'
CORRECT OCCUPANCY (CBC: 401)
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
1010004
VERIFICATION OF QUANTITIES (CCR: 2729.4)
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)
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
1010006
V� Lk W",oe
1020002
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5)
1010010
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3030007
e1 �! � G � •� C C �' 1
HOUSEKEEPING (CFC: 304.1) lo-27-2.
FIRE PROTECTION (CFC: 903 & 906)
3030032 � � �' VV-N %/
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) 1010005
NY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO Sianatureof Receipt
xplain:
Inspector:
POST INSPECTION INSTRUCTIONS: r-
• Correct the violation(s) noted above by 2
• 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
. K
Signature (that all violations have been corrected as noted)
Date
FD2155 (Rev 6/2021)