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UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Hazardous Materials Business Plan
Inspection
BAKERSFIELD FIRE DEPT,
Prevention Services
b4 2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326-3979
Fax: (661) 852-2171
FACILITY NAME INSPECTION DATE INSPECTION TIME
Z.
ADDRESS � � O � � PHONE NO. NO OF EMPLOYEES
FACILITY CONTACT BUSINESS ID NUMBER
CONSENT TO INSPECT NAME/TITLE
Section 1: Business Plan and Inventory Program
❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI -AGENCY ❑ COMPLAINT ❑ RE -INSPECTION
C v C=Compliance OPERATION C E R S
V=violation; I, I I Minor Violation, COMMENT
ACTIVE HAZARDOUS MATERIALS PERMIT (BMC: 15.65.080) 3010001
CERS INFORMATION ENTERED & UPDATED ANNUALLY (CCR: 2729.1) 3210043
- 2Z
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
CORRECT OCCUPANCY (CBC: 401)
y
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
HOUSEKEEPING (CFC: 304.1)
FIRE PROTECTION (CFC: 903 & 906) jr,1 Z
3030032 r iJ SQ to
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) 1010005 JI e � v%
j 4."
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO Sign ture of HeceiLt
iin-:,
Explain:
r 1
Inspector: ram- 06a 1�.
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)
Date
White — Business Copy Yellow — Station Copy Pink — Prevention Services FD2155 (Rev 6/2021)