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UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
14'
BAKERSFIELD FIRE DEPT.
Prevention Services
e I P. R s E I m_ L o
F /If1E 2101 H Street
ARTM T Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME
s J
INSPECTION DATE
M / Z
INSPECTION TIME
ADDRESS PHONE NO. NO OF EMPLOYEES
FACILITY CONTACT _ BUSINESS ID NUMBER
Consent to Inspect Name /Title
Section 1: Business Plan and Inventory Program
ROUTINE ' COMBINED JOINT AGENCY MULTI - AGENCY COMPLAINT RE- INSPECTION
C v C= Compliance OPERATION
V= Violation
COMMENTS
1Qp APPROPRIATE PERMIT ON HAND BMC: 15.65.080)
p` BUSIneSS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
S. VISIBLE ADDRESS CFC: 505.1, BMC: 15.52.020)
c
CORRECT OCCUPANCY CBC:401)
11D VERIFICATION OF INVENTORY MATERIALS CCR: 2729.3)
s VERIFICATION OF QUANTITIES CCR: 2729.4)
VERIFICATION OF LOCATION CCR: 2729.2)
21 PROPER SEGREGATION OF MATERIAL CFC: 2704.1)
VERIFICATION OF MSDS AVAILABILITY CCR: 2729.2(3)(b))
n
VERIFICATION OF HAZ MAT TRAINING CCR: 2732) t y
a VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
0- EMERGENCY PROCEDURES ADEQUATE CCR: 2731)
b CONTAINERS PROPERLY LABELED CCR: 66262.34(1), CFC: 2703.5)
HOUSEKEEPING CFC: 304.1)
FIRE PROTECTION CFC: 903 & 906)
i® SITE DIAGRAM ADEQUATE & ON HAND CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE? DYES NO Signature of Receipt
Explain:
POST INSPECTION INSTRUCTIONS:
Correct the violation(s) noted above by
Within 5 days of correcting all of the violations, sign and return a copy of this page to
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
t ry, 1 . ,
J\
Signature (that all violations have'Geen corrected as noted)
Date
White — Business Copy Yellow — Business Copy to be Sent in alter return to Compliance Pink — Prevention Services Copy 17132155 (Rev ON)