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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
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FACILITY NAME
INSPECTION DATE INSPECTION TIME
i
ADDRESS
(sb -j - 4 j
PHONE NO., ` f NO OF EMPLOYEES
FACILITY CONTACT -
BUSINESS ID NUMBER
CONSENT TO INSPECT NAME/TITLE
A-,+�
Section 1: Business Plan and Inventory Program
❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY
❑ MULTI -AGENCY
❑
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CERS
COMPLAINT ❑ RE -INSPECTION
C-Compliance
C V - OPERATION
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)
1010004
CORRECT OCCUPANCY (CBC: 401)
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
1010006
VERIFICATION OF LOCATION
(CCR: 2729.2)
PROPER SEGREGATION OF MATERIAL
VERIFICATION OF SDS AVAILABILITY (CCR:
VERIFICATION OF HAZ MAT TRAINING
(CFC: 2704.1)
2729.2(3)(b))
(CCR: 2732)
1020002
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES
(CCR: 2731(c))
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5)
1010010
3030007
HOUSEKEEPING (CFC: 304.1)
FIRE PROTECTION (CFC: 903 & 906) 3030(
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) 1010(
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO Sionati
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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 — Business Copy Yellow - - Station Copy Pink — Prevention Services
Date
FD2155 (Rev 6/2021)