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BAKERSFIELDFIRE DEPT'.'
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UNIFIE.-U.'"PROGRAM•INSP'ECTION CHECKLIST s.
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A93301
SECTIONI: Business Plan.and Inventory Program Tel.. ,.(661) 3'2'6,3979
Fax: (661) 852-2171
FACILITY'NAME INSPECTION DATE -INS
ECTION TIME
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ADDRESS PHONE NO. NO''OF EMPLOYEES
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FACILITY CONTACT - BUSINESS LD1 NUMBER ,sr
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Consent to Inspect Name/Title
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ROUTINE ❑ .COMB.IN-ED El JOINT AGENCY: D MULTI-AGENCY ❑ .COMPLAINT 0 RE-INSPECTION
_
C V C=Compliance OPERATION
V=Violation
COMMENTS
APPROPRIATE PERMIT ON HAND BMC:15.65.080
. I
-` ❑ BUSKCIeSS-PLAN CONTACT INFORMATION ACCURATE
(CCR:2729.1)
' EJ VISIBLE ADDRESS: (CFC:505.1,BMC:15.52.020),
I.
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❑r ❑
CORRECT:OCCUPANC.Y (CBC:401)
❑ VERIFICATION OF INVENTORY:MATERIALS (CCR:2729.3)
❑''r ❑ VERIFICATION OF QUANTITIES (CCR:2729,4) :
On_ . ❑ VERIFICATION OF LOCATION (CCR:'2729.2)
C ❑ PROPER SEGREGATION OF MATERIAL (CFC:2704.1)
El El, • I
VERIFICATION OF MSDS•AVAILABILITY (CCR:2729.2(3)(b))
2732)
`� ❑ ❑. VERIFICATION OF HAZ MAT TRAINING; (CCR:: I
E • ❑ VERIFICATION OF ABATEMENT SUPPLIES&PRO_.CEDURES .(CCR:2731.(c))
1-1 I
EMERGENCY PROCEDURES ADEQUATE (CCR:2731)
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CONTAINERS PROPERLY LABELED
El (CCR:66262.34(f),CFC 2703.5)
EY ❑ HOUSEKEEPING
•(CFC:304.1)
D ❑ FIRE PROTECTION
`' (CFC:903&906) �
SITE DIAGRAM ADEQUATE&ON HAND (CCR:2729.2)
- Si nature of Recei t
ANY-HAZARD 0U:S. WASTE�ON. SITE ❑YES E l NO. u
Expla-in. ,.
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POST INSPECTION INSTRUCTIONS:
Correct the violations noted above by Signature(that all violations have been corrected as noted)
• Within•5 days of correcting all of the:violatzons,'sign and return a copy of this page to
Bakersfield Fire Dept.,Prevention Services;2101 H Street,California 93301
Date
A.
White-Business Copy Yellow-Business Copy to be Sent in after return to Compliance Pink--Prevention.Services Copy FD2155 Rev 6H10)