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BAKERSFIELD FIRE DEPT.
Prevention Services
B3 4-B R s F4 n 2101 H Street
UNIFIED PROGRAM INSPECTION CHECKLIST'S Bakersfield, CA 93301
r Tel.: (661) 326 -3979
SECTION 1 Hazardous Materials Business Plan Fax: (661) 852 -2171
Ins ion
FACILITY NAME ®
INSPECTION DATE
INSPECTION TIME
V= Violation; 1,11 Minor
violation
COMMENT
ADDRESS r
70
PHONE NO.
NO OF EMPLOYEES
FACILITY CONTACT
BUSINESS ID NUMBER
Consent to Inspect Namefritle
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ROUTINE ❑COMBINED ❑JOINT AGENCY ❑MULTI - AGENCY ❑COMPLAINT ❑ RE- INSPECTION
=
Compliance PERATION
C E R S
V= Violation; 1,11 Minor
violation
COMMENT
APPROPRIATE PERMIT ON HAND (BMC:15.65.080)
3010001
Leo/
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
1010008
VISIBLE ADDRESS (CFC: 505.1, BMC:15.52.020)
M
CORRECT OCCUPANCY ` (CBC: 401)
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
1010004,.�,)
1�
VERIFICATION OF QUANTITIES (CCR: 2729.4)
1010006°
`?
VERIFICATION OF LOCATION (CCR: 2729.2)
PROPER'SEGREGATION OF MATERIAL (CFC: 2704.1)
VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b))
VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
1020002
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
5
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
1010010
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5)
3030007
s - }�I
-
HOUSEKEEPING (CFC: 304.1)
^'
FIRE PROTECTION (CFC: 903 & 906)
3030032
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
1010005
ANY HAZARDOUS WASTE ON SITE? YES ❑ NO
i gnature ofReceipt
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Inspector:
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: Signature (that all violations have been corrected as noted)
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
Date
White— Business Copy Yellow Station Copy Pink Prevention. Services
FD2155 (Rev 8H14)
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