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UNIFIB ,E•D •PROGRAM` INSPECTION CHECKLIS E R S F L D _
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T Bakersfield, CA:93301
SECT110N ,� Tel:. (661 32, 1 Business and .m � ���i�� =.k � � ) 6.3979 �° �' •
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Fax: (661) 852 -2171'
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FACILITY NAME
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INSPECTION DATE
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INSPECTION TIME
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APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
ADDRESS
PHONE NO:
NO OF EMPLOYEES
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VISIBLE�ADDRESS CFC: 505.1, BMC: 15.52.020
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FACILITY CONTACT
BUSINESS ID NUMBER
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VERIFICATION OF QUANTITIES
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r ROUTINE ,❑ COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY. ❑ COMPLAINT ❑ RE INSPECTION
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V--Violation
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COMMENTS
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APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
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BUSIC1eSS PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1.)
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VISIBLE�ADDRESS CFC: 505.1, BMC: 15.52.020
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CORRECT OCCUPANCY
(CBC: 401)
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'VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
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VERIFICATION OF QUANTITIES
(CCR: 2729.4)
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VERIFICATION OF LOCATION
(CCR:' 2729.2)
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PROPER SEGREGATION OF MATERIAL
(CFC: 2704.1)
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.''VERIFICATION OF MSDS AVAILABILITY
(CCR: 2729.2(3)(b))
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VERIFICATION OF HAZ MAT�TRAINING
(CCR: 2732)
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VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731 (0)
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EMERGENCY PROCEDURES ADEQUATE
(CCR:.2731)
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CONTAINERS PROPERLY LABELED (CCR: 66262.34(f),, CFC: 2.703:5)
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HOUSEKEEPING
(CFC: 304.1)
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FIRE PROTECTION
(CFC: 903 & 906)
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SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 27.29.2)
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ANY HAZARD O U S WASTE ON S 1 T E? ICJ YES ❑
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POST INSPECTION INSTRUCTIONS:'
• Correct the violation(s) noted above by Signature (that all violations have been .corrected a noted)
• • Within 5 days of correcting all of the violations, sign and return a copy of this. page to:`� t 1
Bakersfield Fire Dept., Prevention Services, 21.0.1 H Street, California 93301
Date
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White — Business Copy • Yellow - Business Copy to be Sent in after return to Compliance Pink —Prevention Services Copy FD2155 (Rev 6M)