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UNIFIED PROGRAM INSPECTION CHECKLIST;
SECTION 1: Business Plan and Inventory Program ,
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BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME INSPECTION DATE
COMMENTS
INSPECTION TIME
APPROPRIATE PERMIT ON HAND BMC: 1.65.080)
BUSINESS PLAN CONTACT INFORMATION ACCURATE
ADDRESS PHONE NO.
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
NO OF EMPLOYEES
12 CORRECT OCCUPANCY CBC: 401)
IJ
FACILITY CONTACT
CCR: 2729.3)
BUSINESS ID NUMBER
VERIFICATION OF QUANTITIES CCR: 2729.4)
Consent to Inspect Name /Title
VERIFICATION OF LOCATION CCR: 2729.2)
PROPER SEGREGATION OF MATERIAL CCR: 2704.1)
Section and Inventory Program f2
0 ROUTINE 1:1 COMBINED 0 JOINT AGENCY E) MULTI-AGENCY COMPLAINT
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C v C= Compliance, OPERATION
V= Violation
COMMENTS
APPROPRIATE PERMIT ON HAND BMC: 1.65.080)
BUSINESS PLAN CONTACT INFORMATION ACCURATE CCR: 2729.1)
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
12 CORRECT OCCUPANCY CBC: 401)
IJ VERIFICATION OF INVENTORY MATERIALS CCR: 2729.3)
VERIFICATION OF QUANTITIES CCR: 2729.4)
9" VERIFICATION OF LOCATION CCR: 2729.2)
PROPER SEGREGATION OF MATERIAL CCR: 2704.1)
9--' VERIFICATION OF MSDS AVAILABILITY CCR: 2729.2(3)(B))
Icd' VERIFICATION OF HAZ MAT TRAINING CCR: 2732)
Q VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES CCR: 2731))
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EMERGENCY PROCEDURES ADEQUATE CCR: 2731)
El CONTAINERS PROPERLY LABELED (CCR: 66262.34(F), CFC 2703.5)
HOUSEKEEPING CFC: 304.1)
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FIRE PROTECTION CFC: 903 & 906)
r SITE DIAGRAM ADEQUATE & ON HAND CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE? YES NO SignatureofReceipt
Explain: N 2 c L -ee---1 t 0 Ca
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POST INSPECTION INSTRUCTIONS:
Refer to the back ofthis inspection report for regulatory citations and corrective actions
Correct the violation(s) noted above by
Within 5 days ofcorrecting all ofthe 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)
Date
White — Business Copy Yellow — Business Copy tobe Sent in alter return to Compliance Pink Pre6ention Services Copy FD2155 (Rev 12/11)
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