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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
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
I
Vd
eQ
ADDRESS
PHONE NO.
NO OF EMPLOYEES
,? ct
1-7 3
FACILITY CONTACT
BUSINESS ID NUMBER
CONSENT 10 INSPECT NAME/TITLE
Section 1:
Business Plan and Inventory Program
❑ ROUTINE
❑ COMBINED ❑ JOINT AGENCY ❑ MULTI -AGENCY ❑ COMPLAINT ❑ RE -INSPECTION
C u 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
1.
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
CORRECT OCCUPANCY (CBC: 401)
IL
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
1010004
1P
VERIFICATION OF QUANTITIES (CCR: 2729.4)
1010006
0 61
5 40
vN01 - CA CIY- 0 4 1 -5
VERIFICATION OF LOCATION (CCR: 2729.2)
U3.ejGx)
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
�. Q lot L
HOUSEKEEPING (CFC: 304.1)
./
FIRE PROTECTION (CFC: 903 & 906)
3030032
f
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) 1010005
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO i nature of Receit
Explain:
Inspector: 0--' • V �
POST INSPECTION INSTRUCTIONS:
• Correct the violation(s) noted above by L1118
• 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)