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BAKERSFIELD FIRE DEPT.
Prevention Services
B x s F....:� -..._n 2101 H Street
UNIFIED PROGRAM INSPECTION CHECKLIST
FIRE T Bakersfield, CA 93301
Tel. (661) 326 -3979
SECTION. 1: Hazardous Materials Business Plan Fax: (661) 852 -2171
Ins ction
ILITY NAME
INSPECTION DATE
INSPECTION TIME
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Violation
COMMENT
ADDRESS
PHONE NO.
NO OF EMPLOYEES
FACILITY GONTACT
BUSINESS ID NUMBER
Consent to Inspect Name/Title
FACInspector �,.<.
POST INSPECTION INSTRUCTIONS:
4 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 8//14)
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ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI-AGENCY .,F as wA,a r
❑ � GENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V` C =Compliance OPERATION
CERS
V =violation; 1,11 Minor
Violation
COMMENT
APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
3010001
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BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
1010008
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VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
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CORRECT OCCUPANCY (CBC: 401)
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VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
1010004
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))
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a.
VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
1020002
VERIFICATION OF ABATEMENT SUPPLIES &PROCEDURES (CCR, 2731(c))
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
1010010
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5)
3030007
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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 natureofReceipt
Explain: