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BAKERSFIELD FIRE DEPT.
Prevention Services
E R s F -1 1) 2101 H Street
UNIFIED PROGRAM INSPECTION CHECKLIST Bakersfield, CA 93301
Tel.: (661) 326 -3979
SECTION 1: Hazardous Materials Business Plan
Fax: (661) 852 -2171
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FACILITY NAME i
INSPECTIONiDATE
INSPECTION TIME
V= Violation; I,IJ Minor
Violation
COMMENT
ADDRESS
�.
PHONE NO.
NO OF EMPLOYEES
FACILITY CONTACT
BUSINESS ID NUMBER
Consent to Inspect Name/Title
3010001
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ROUTINE ❑ COMBINED ❑ JOINTAGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V C=Gompliance OPERATION
CERS
V= Violation; I,IJ Minor
Violation
COMMENT
APPROPRIATE PERMIT ON HAND (B MC: 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
VERIFICATION OF LOCATION (OCR: 2729.2)
PROPER SEGREGATION OF MATERIAL (CFC:,,2704.1)
VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b))
w'u r
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)
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FIRE PROTECTION (CFC: 903 & 906)
3030032
�4.
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 )
1010005
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ANY HAZARDOUS WASTE:ON SITE? 131;�YES ❑ NO
Signature ofRecei t'
/ ., Y
Explain
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 8//14)