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UNIFIED PROGRAM INSPECTION CHECKLIST: u x H_g r t e n
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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
ILLTY NAME ,
p C= Compliance) OPERATIONA
V= Violation
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INSPECTION DATE INSPECTION TIME
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BUSINESS PLAN CONTACT INFORMATION ACCURATE
ADDRESS "
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PHONE NO. NO OF EMPLOYEES
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FACILITY CONTACT g S INEnsel N. UMBER
VERIFICATION OF INVENTORY MATERIALS CCR: 2729.3)
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VERIFICATION OF QUANTITIES
Consent to Inspect Name /Title
G VERIFICATION OF LOCATION CCR: 2729.2)
PROPER SEGREGATION OF MATERIAL CCR: 2704.1)
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VERIFICATION OF MSDS AVAILABILITY
Section 1: Business Plan and Inventory Program
ROUTINE COMBINED JOINT AGENCY MULTI- AGENCY COMPLAINT RE- INSPECTION
C v p C= Compliance) OPERATIONA
V= Violation
4 COMMENTS
APPROPRIATE PERMIT ON HAND BMC: 1.65.080)
BUSINESS PLAN CONTACT INFORMATION ACCURATE CCR: 2729.1)
V -1 . o A { t
VISIBLE ADDRESS CFC: 505.1, BMC: 15.52.020)
L! CORRECT OCCUPANCY CBC:401)
VERIFICATION OF INVENTORY MATERIALS CCR: 2729.3)
VERIFICATION OF QUANTITIES CCR: 2729.4)
G VERIFICATION OF LOCATION CCR: 2729.2)
PROPER SEGREGATION OF MATERIAL CCR: 2704.1)
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VERIFICATION OF MSDS AVAILABILITY CCR: 2729.2(3)(B))
El " VERIFICATION OF HAZ MAT TRAINING CCR: 2732)
I( VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES CCR: 2731))
C EMERGENCY PROCEDURES ADEQUATE CCR: 2731)
X CONTAINERS PROPERLY LABELED CCR: 66262.34(F), CFC 2703.5)
HOUSEKEEPING CFC: 304.1)
L, FIRE PROTECTION CFC: 903 & 906)
SITE DIAGRAM ADEQUATE & ON HAND CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE? YES NO SiLnatureofReceipt
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Explain:
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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
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Within 5 days of correcting
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the violations, sign and return a copy of this page to:
BakersFzIdr're Dept., Prevention Services, 2101 H Street, California 93301
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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 FD2155 (Rev 12/11)