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UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Hazardous Materials Business Plan
Inspection
FACILITY NAME
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ADDRESS
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FACILITY ONTACT
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Consent to Inspect Name/Title
BAKERSFIELD FIRE DEPT,
Prevention Services
" 101 H Street
'e9 Bakersfield, CA 93301
• . Tel.: (661) 326-3979
Fax: (661) 852-2171
NSPECTIO DATE INSPECTION TIME
'HON NO. NO OF qTLOYEES
V0 I I Im j
3�
3USINESS ID NUMBER
Li 0' 0 *0;
/ Section 1: Business Plan and Inventory Program
ROUTINE u Cviviesnvtu u JOINT AGENCY LJ MULTI -AGENCY ❑ COMPLAINT ❑ RE -INSPECTION
C V C=Compliance OPERATION
C E R S
V=violation; 1,11 Minor
ViolationCOMMENT
APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
3010001
CERS INFORMATION ENTERED & UPDATED ANNUALLY (CCR: 2729.1)
1010008
1010004
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
CORRECT OCCUPANCY (CBC: 401
J
VERIFICATION OF INVENTORY MATERIALS CCR: 2729.3
( )
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
l 2
2-
HOUSEKEEPING (CFC: 304.1)
FIRE PROTECTION (CFC: 903 & 906)
3030032
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
1010005
NY HAZARDOUS WASTE ON SITE? ❑ YES NO
Si2natureofReceipt
FYnIMin
--
Inspector: ` , 1 I V q
POST INSPECT�11_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 — Prevention Services Yellow — Station Copy Pink — Business Copy FD2155 (Rev 3/2019)