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UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Hazardous Materials Business Plan
Inspection
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Q o� Bakersfield, CA 93.3
• Tel.: (661) 326-3979
Fax: (661) 852-2171
FACILITY NAMEJ.,
INSPECTION DATE
INSPECTION TIME
ADDRESS
SOON
PHONE NO. G✓
_L4 -
NO OF E R1rOYEES
L "I 4 - r
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 -
V=violation; 1,11 Minor
C E R S
Violation
COMMENT
APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
3010001
CERS 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
YES NO
;ANY HAZARDOUS WASTE ON SITE? El �..
s
Signature of Receipt
Explain:
Inspector: --
POST INSPECTION NSTRUCTIONS:
• 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)