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UNIFIED PROGRAM INSPECTION CHECKLIST[! , B K F R -S F ILD
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SECTION 1: Business Plan and Inventory Program
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME
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INSPECTION DATE
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INSPECTION TIME
ADDRESS
2
APPROPRIATE PERMIT ON HAND BMC: 1.65.080)
PJJONE NO
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NO OF EMPLOYEES
FACILITY CONTACT
COMBINED JOINT AGENCY MULTI - AGENCY COMPLAINT RE -INSP TI6N
BUSI SID NUMBER
VISIBLE ADDRESS
Consent to Inspect Name /Title
CORRECT OCCUPANCY
C V C= Compliance OPERATION
V= Violation
COMMENTS
02' APPROPRIATE PERMIT ON HAND BMC: 1.65.080)
Section 1: Business Plan and Inventory Program
ROUTINE COMBINED JOINT AGENCY MULTI - AGENCY COMPLAINT RE -INSP TI6N
VISIBLE ADDRESS CFC: 505.1, BMC: 15.52.020)
C V C= Compliance OPERATION
V= Violation
COMMENTS
02' APPROPRIATE PERMIT ON HAND BMC: 1.65.080)
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BUSINESS PLAN CONTACT INFORMATION ACCURATE CCR: 2729.1)
121" VISIBLE ADDRESS CFC: 505.1, BMC: 15.52.020)
CORRECT OCCUPANCY CBC: 401)
Q VERIFICATION OF INVENTORY MATERIALS CCR: 2729.3
0 VERIFICATION OF QUANTITIES CCR: 2729.4)
CI VERIFICATION OF LOCATION CCR: 2729.2) C
p PROPER SEGREGATION OF MATERIAL CCR: 2704.1)
LJ VERIFICATION OF MSDS AVAILABILITY CCR: 2729.2(3)(B))
0 VERIFICATION OF HAZ MAT TRAINING CCR: 2732)
E VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR: 2731))
EMERGENCY PROCEDURES ADEQUATE CCR: 2731)
CONTAINERS PROPERLY LABELED CCR: 66262.34(F), CFC 2703.5)
El HOUSEKEEPING •,ky. CFC: 304.1)
FIRE PROTECTION CFC: 903 & 906)
SITE DIAGRAM A&QUATE & ON HAND CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE? ' YES NO Siy atur ol'Recei t >
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Explain:
POST INSPECTION INSTRUCTIONS:
Refer to the back of this inspection report for regulatory citations and corrective actions
Correct the violation(s) noted above by
Within 5 days of correcting all of the violations, sign and return a copy ofthis page lo:
Bakersfield Fire Dept., Prevention Services, 2101 H Street, Cali lortiia 93301
Signati 6 that all'i iolations have been corrected as noted)
Date
White — Business Copy Yellow— Business Copy to be Sent in a[ler return to Compliance Pink Prevention Services Copy FD2155 (Rev 12/11)
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