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BAKERSFIELD FIRE DEPT.
Prevention Services
UNIFIED PROGRAM. INSPECTION CHECKLIST 1" 2101 H Street
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HaZ -Mat Business Plan and Inventory Program I Tel.: (661) 326 -3979
Fax:; . (661) 852-2171
FACILITY NAME INSPECTION DATE INSPTION TIME
ADDRESS PHONE NO. NO Of EMPLOYEES f
c
FACILITY CONTACT "" BUSINESS ID NUMBER
Consent to Inspect Na -rtle
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ROUTINE ,.;;- COMBINED JOINT AGENCY MULTI- AGENCY COMPLAINT RE-INSPECTION.
C V C= Compliance OPERATION
V= Violation
COMMENTS
VISIBLE ADDRESS (CFC :505.1, BMC:15.52.020)
0 El APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H &S 25404(e)
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
VERIFICATION OF QUANTITIES (CCR: 2729.4)
VERIFICATION OF LOCATION (CCR: 27.29.2)
PROPER SEGREGATION OF MATERIAL (CFC: 5004.1)
SAFETY DATA SHEET AVAILABILITY (CCR: 2729.2(3)(b))
VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES .(CCR:2731(c))
8
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
El. CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5) Al
HOUSEKEEPING (CFC: 304.1)
FIRE PROTECTION (CFC: 903 &'906)
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2(3))
NY 'HAZARDOUS WASTE ON SITE? YES NO
f
Explain: i nature of Recei _
f
POST INSPECTION INSTRUCTIONS FOR RETURN -TO- COMPLIANCE:
Correct the violation(s) noted above by Signature (that all violations have been corrected as noted)
Within 5 days of correcting all of the violations, sign and return a copy ofthis page to:
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
Date
White — Business Copy Yellow — Business Copy to beSent in afterreturn to Compliance PinkPrevention Services Copy FD2155 (Rev 1/14) .