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'. BAKERSFIELD FIRE DEPT.
f
s, Prevention Services
E R s P. >f n 2101 H Street
UNIFIED PRO G AM INSPECTION CHECKLIST r�r Bakersfield, CA 93301'
A irk' Tel.: (661) 326 -3979
SECTION 1: Hazardous Materials Business Plan Fax: (661) 852 -2171
Inspection
FACILITY NAME - :
INSPEfCTIONp DATE
INSPECTION TIME
, -� r r
r
APPROPRIATE PERMIT ON HAND (BM C: 15.65.080)
ADDRESS
PHONE NO.
NO OF EMPLOYEES
J11
BUSINESS PLAN CONTACT. INFORMATION ACCURATE (CCR: 2729.1)
1010008
FACILITY CONTACT
BUSINESS ID NUMBER
�- ()9.1
onsent' to Insp C,—,Name itl
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❑ ROUTINE El COMBINED ❑ JOINTAGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V = om p iance OPERATION
V= Violation; 1,11 Minor
C E R S
Violation
_
COMMENT,
1�
r
APPROPRIATE PERMIT ON HAND (BM C: 15.65.080)
3010001
J11
BUSINESS PLAN CONTACT. INFORMATION ACCURATE (CCR: 2729.1)
1010008
IVOY
1,v` 4.)
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 AVALLABILITY (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(17, CFC: 2703.5)
3030007
u �� • j Iry, u� R ,
HOUSEKEEPING (CFC: 304.1)
' �.t, .a Via✓ r 3 1 c opi i ..r
FIRE PROTECTION (CFC: 903 & 906)
3030032
15
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SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
1010005
ANY HAZARDOUS WASTE ON SITE? 0/YES ❑ NO
• •natdr° ofR6cei t
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)