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UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Hazardous Materials Business Plan
Inspection
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326-3979
Fax: (661) 852-2171 MMMM
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
ADDRESS
vAi t L
PHONE NO.
0
NO OF EMPLOYEES
FACILITY CONTACT A _
rA'-
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
V=Violation; 1,11 Minor
C E R S
Violation COMMENT
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
3010001
C ERS INFORMATION ENTERED & UPDATED ANNUALLY
(CCR: 2729.1)
1010008
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)
1010004
VERIFICATION OF LOCATION
(CCR: 2729.2)
1010005
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)
3030032
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2)
1010005
NY HAZARDC US WASTE ON SITE? ❑ YES ❑ NO
Si2nature of Recei t
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)
White — Prevention Services Yellow — Station Copy Pink — Business Copy
Date
FD2155 (Rev 3/2019)