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a yI BAKERS FIELD FIRE DEPT.
Prevention Services
s E R s F t n 2101 H Street
UNIFIED PROGRAM INSPECTION CHECKLIST FIRS Bakersfield, CA 93301
ARTM f Tel.:. (661) 326 -3979
SECTION 1: Hazardous Materials Business Plan Fax: (661) 852 -2171
Ins ion
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
Oiz
APPROPRIATE PERMIT ON HAND (BMC.15.65.080)
ADDRESS
PHONE NO.
NO.OF EMPLOYEES
5".5 1
101000
FACILITY CONTACT
BUSINESS ID NUMBER
/
onsent to Inspect Name/Title
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❑ ROUTINE ❑COMBINED ❑JOINT AGENCY ❑MULTI - AGENCY ❑COMPLAINT ❑ RE- INSPECTION
C V C=Gompliance OPERATION
V= Violation; 1,11 Minor
CERS
Violation
COMMENT
APPROPRIATE PERMIT ON HAND (BMC.15.65.080)
3010001
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
101000
_. _.
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VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
V IV
A t I
CORRECT OCCUPANCY (CBC:4
f,)�
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VERIFICATION OF INVENTORY MATERIALS `/ (CCR: 2729.3)
1010004
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VERIFICATION OF QUANTITIES (CCR: 2729.4)
1010006
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VERIFICATION OF LOCATION (CCR: 2729.2)
PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
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VERIFICATION OF SDS AVAILABILITY. (CCR: 2729.2(3)(b))
VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
1020002
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VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
r
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
1010010 l..
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CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5)
3030007 '•
r'
HOUSEKEEPING (CFC: 304.1)
FIRE PROTECTION (CFC: 903 & 906)
3030032
,.
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
1010005
sue'` a"T .
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ANY HAZARDOUS WASTE ON SITE? DYES ❑ NO
Signature ofReceipt a 3ti�
Explain: �» ti L �>C�' a.ra.�o �itp� aw!c
e tam_`, �”' 4
inspector:
POST INSPECTION INSTRUCTI6NS:
• 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 1
Date
White — Business Copy Yellow — Station Copy Pink — Prevention Services FD2155 (Rev 8H14)