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UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: -Business Plan and .Inventory Program
d E R S F t e_ t_D
FIRE
ARrM r
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME
t
v
INSPECTION DATE INSPECTION TIME
ADDRESS
t
0
PHONE NO. NO OF EMPLOYEES
FACILITY CONTACT BUSINESS ID NUMBER
Consent to Inspect Name /Title
Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
Section 1: Business Plan and Inventory Program
ROUTINE 3OMBINED JOINTAGENCY MULTI - AGENCY COMPLAINT RE- INSPECTION
C v C= Compliance OPERATION
V= Violation
COMMENTS
t
0 APPROPRIATE PERMIT ON HAND BMC: 15.65.080)
Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
D7 VISIBLE ADDRESS CFC: 505.1, BMC: 15.52.020)
i
33 CORRECT OCCUPANCY CBC: 401)
Ell VERIFICATION OF INVENTORY MATERIALS CCR: 2729.3)
t VERIFICATION OF QUANTITIES CCR: 2729.4)
VERIFICATION OF LOCATION CCR: 2729.2)
0 PROPER SEGREGATION OF MATERIAL CFC: 2704.1)
N VERIFICATION OF MSDS AVAILABILITY CCR: 2729.2(3)(b))
VERIFICATION OF HAZ MAT TRAINING CCR: 2732)
P VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
EMERGENCY PROCEDURES ADEQUATE CCR: 2731)
13' CONTAINERS PROPERLY LABELED CCR: 66262.34(0, CFC: 2703.5)
HOUSEKEEPING CFC: 304.1)
QM FIRE PROTECTION CFC: 903 & 906)
SITE DIAGRAM ADEQUATE & ON HAND CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE? ®AYES NO Signature -of Receipt _ J
Explain:
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:
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 to be Sent in after return to Compliance Pink — Prevention Services Copy F132155 (Rev 61110)