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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
�...r/ Fax: (661) 852-2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
t4C
?//P ` 2
ADDRESS
PHONE NO.
NO OF EMPLOYEES
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
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
VERIFICATION OF LOCATION
PROPER SEGREGATION OF MATERIAL
VERIFICATION OF SDS AVAILABILITY
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2729.4)
(CCR: 2729.2)
(CFC: 2704.1)
(CCR: 2729.2(3)(b))
(CCR: 2732)
1010006
1020002
1/1
U-2�,�' f FkJ
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
EMERGENCY PROCEDURES ADEQUATE
CONTAINERS PROPERLY LABELED
HOUSEKEEPING
(CCR: 2731)
(CCR: 66262.34(o, CFC: 2703.5)
(CFC: 304.1)
1010010
3030007
FIRE PROTECTION
(CFC: 903 & 906)
3030032
— 3 .� 9L
.5 p { t<Q_
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2)
1010005
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO
Sipnature of Recei t
Explain:
f
Inspector: ;A_ 'j
uo�7
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)
Date
t
White — Business Copy Yellow — Station Copy Pink — Prevention Services
FD2155 (Rev 6/2021)