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UNIFIED PROGRAM INSPECTION CHECKLISTe9
SECTION 1: Hazardous Materials Business Plan
Inspection
BAKERSFIELD FIRE DEPT.
Prfev*ntion Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326-3979
Fax: (661)852-2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
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-2 1 - 24
1 S'
ADDRESS
HONE NO.
NO OF EMPLOYEES
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FACILITY CONTACT
CNR:�I.
,1 ►rAAItl �
BUSINESS ID NUMBER
onsent to Inspect Name/Ti e—'`
I1 I C1Ar\C`�i11
t:�e I
Section 1: Business Plan and Inventory Program
0 ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI -AGENCY ❑ COMPLAINT ❑ RE -INSPECTION
C V C=Gompliance OPERATION
V=Violation; 1,11 Minor
CERS
Violation
COMMENT
APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
3010001
CERS INFORMATION ENTERED & UPDATED ANNUALLY (CCR: 2729.1)
3210043
/
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
'
.i
CORRECT OCCUPANCY (CBC:401)
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
1010004
//
f
VERIFICATION OF QUANTITIES (CCR: 2729.4)
1010006
/r
VERIFICATION OF LOCATION (CCR: 2729.2)
i
PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
VERIFICATION OF SIDS 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
f
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5)
3030007
/
HOUSEKEEPING (CFC:304.1)
r
FIRE PROTECTION (CFC: 903 & 906)
3030032
J� F 1> h4 rJ U A L
sel-ld."i
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
1010005
ANY HAZARDOUS WASTE ON SITE? ❑ YES ElNO
i nature ofRecei t /
xplain:
Inspector•
POST INSPECTION INSTRUCTIONS:
4 L
• 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 9/2017)