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UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business. Plan and Inventory Program
8 C R S F I D
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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
Compliance) OPERATION
V= Violation
INSPECTION DATE INSPECTION TIME
APPROPRIATE PERMIT ON HAND BMC: 15.65.080)
i 1
ADDRESS
Business PLAN CONTACT INFORMATION ACCURATE
PHONE NO. NO OF EMPLOYEES
D
f _
0'*'
FACILITY CONTACT
CBC:401)
BUSINESS ID NUMBER
0 VERIFICATION OF INVENTORY MATERIALS
i - bZt- Ooo 347Fri
VERIFICATION OF QUANTITIES
Consent to Inspect Name /Title
z Section 1: Business Plan and Inventory Program
ROUTINE COMBINED JOINT AGENCY MULTI - AGENCY COMPLAINT RE- INSPECTION
C V Compliance) OPERATION
V= Violation
COMMENTS
APPROPRIATE PERMIT ON HAND BMC: 15.65.080)
lil' Business PLAN CONTACT INFORMATION ACCURATE CCR: 2729.1)
D VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
0'*' CORRECT OCCUPANCY CBC:401)
0 VERIFICATION OF INVENTORY MATERIALS CCR: 2729.3)
4 VERIFICATION OF QUANTITIES CCR: 2729.4)
VERIFICATION OF LOCATION CCR: 2729.2)
Q,"10 PROPER SEGREGATION OF MATERIAL CFC: 2704.1)
0El VERIFICATION OF MSDS AVAILABILITY CCR: 2729.2(3)(b)).
VERIFICATION OF HAZ MAT TRAINING CCR: 2732)
Utz VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
f EMERGENCY PROCEDURES ADEQUATE CCR: 2731)
0-"' CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5)
Cg-"' HOUSEKEEPING CFC: 304.1)
FIRE PROTECTION CFC: 903 & 906)
SITE DIAGRAM ADEQUATE & ON HAND CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE? AYES NO Signature of Receipt
Explain: f
POST INSPECTION INSTRUCTIONS:
Correct the violation(s) noted above by
Within 5 days ofcorrecting all ofthe violations, sign and return a copy of this page to:
Bakersticld Fire Dept., Prevention Services, 2101 H Street, California 93301
bk '_ White — Business Copy Yellow — Business Copy to be Sent in after return to Compliance
Signature (that all violations have been corrected as noted)
Date
Pink — Prevention Services Copy PD2155 (Rev 6//10)