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UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Hazardous Materials Business Plan
Inspection
BAKERSFIELD FIRE DEPT.
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Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326-3979
Fax: (661) 852-2171
FACILITY NAME
INSPECTION DATE
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INSPECTION TIME
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ADDRESS V_
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PHONE NO.
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NO OF EMPLOYEES
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FACILITY CONTACT
BUSINESS ID NUmeER
CONSENT TO INSPECT NAME/TITLE
Section 1: Business Plan and Inventory Program
OUTINE El COMBINED 171 JOINT AGENCY El MULTI -AGENCY 11 COMPLAINT ❑ RE -INSPECTION
C V C=Compliance OPERATION ' C E R S
V=Violation; 1,11 Minor Violation
#
COMMENT
ACTIVE HAZARDOUS MATERIALS PERMIT (BMC: 15.65.080)
3010001
CERS INFORMATION ENTERED & UPDATED ANNUALLY (CCR: 2729.1)
3210043
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)
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))
100*4
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
1010010
CONTAINERS PROPERLY LABELED (CCR: 66262.34(fl, CFC: 2703.5)
3030007
lei
HOUSEKEEPING (CFC: 304.1)
FIRE PROTECTION (CFC: 903 & 906)
3030032
Z40AJ
0
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
1010005
ANY HAZARDOUS WASTE ON SITE? ES El NO
Siiznature of Rec:eJiDtA�,
Explain: , - WAc 5Aca
IE (o i L... s LA.) A ii OF tz E E ZE i Z - UJ A):S T E_ . LAj i:�
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Inspector:
POST � " �.l N�NSTRUCTIONS:
• Correct the VIC
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
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Signature (thaf�." viqrgt ons have been corrected as noted)
Date
White — Business Copy Yellow — Station Copy Pink — Prevention Services FD2155 (Rev 6/2021)