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BAKER.SFIELD FIRE DEPT.
Prevention Services
4 ERSF1 .....D
.' ..................... . ......... 2101 H Street
'ST FIRE
UNIFIED PROGRAM INSPECTION CHECKLIST AftrN r Bakersfield, CA 93301
Tel.: (661) 326-3979
SECTION 1: Hazardous Materials Business Pla"n Fax: (661) 852-2171
Insnaction
FACILITY NAME
INSPECTION ATE
INSPECTION TIME
V=Violation; 1,11 Minor
Violation
COMMENT
ADDRESS
PHONE NO
NO OF EMPLOYEES
J,
FACILITY CONTACT
BUSINESS ID NUMBER
xf
APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
3010001
Consent. to-IQsp cl Name / title
A
g
............ . . . . . . . . . . . .
ROUTINE ❑ COMBINED 1771 JOINT AGENCY ❑ MULTI-AGENCY ❑ COMPLAINT ❑ RE-INSPECTION
I
C v G=Qompflance OPERATION
CERS
V=Violation; 1,11 Minor
Violation
COMMENT
xf
APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
3010001
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
1010008
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
CORRECT OCCUPANCY (CBC: 401)
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
1010004
VERIFICATION OF QUANTITIES (CCR: 2729.4)
1010006
rt
VERIFICATION OF LOCATION (CCR: 2729.2)
'10
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))
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
1010010
CONTAINERS. PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5)
3030007
HOUSEKEEPING (CFC: 304.1)
FIRE PROTECTION (CFC: 903 & 906)
3030032
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
1010005
ANY HAZARDOUS WASTE ON SITE? '9 YES ❑ NO
ignature of Receipt
Explain:
Inspector:
POST INSPECTION INSTRUCTIONS: 7"
• 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)