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BAKERSFIELD FIRE DEPT.
Prevention Services
H;000p:� `: >~ az s tw t v 2101 H Street
UNIFIED PROGRAM INSPECTION CHECKLIST 1"UrAl sakersfield,ca933o1
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Tel.: (661) 326 -3979
SECTION 1.: " Hazardous Materials Business Plan Fax: (661) 852 -2171
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FACILITY NAME _
INSPECTION}D TE.
INSPECTION TIME
ADDRESS -`
P ONE NO.
NO OF EMPLOYEES
FACILITY CONTACT
BUSINESS ID NUMBER
w
Consent to Inspect Name/Title
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ROUTINE ❑COMBINED ❑JOINT AGENCY ❑MULTI - AGENCY ❑COMPLAINT ❑ RE- INSPECTION
C V = ompiance OPERATION
V =violation; 1,11 Minor
CERS
Violation
COMMENT
APPROPRIATE PERMIT ON HAND (BMC:15.65.080)
3010001
tax 4 C \t10 r;---J
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
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))
'
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
',l,:
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
1010005
a
ANY HAZARDOUS WASTE ON SITE? Q YES 123,—N,0
i nature ofRegi t n
Explain:
Inspector: ;q.. •.
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 8//14)