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BAURSFIELD FIRE DEPT.
Prevention Services
f E R 2101 H Street
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UNIFIED PROGRAM INSPECTION CHECKLIST FXRART� Ai Bakersfield, CA 93301
Tel.: (661) 326 -3979
SECTION 1: Hazardous Materials Business Plan Fax: (661) 852 -2171
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FACILITY NAME
INSPECTION DATE
INSPECTION TIME
ADDRESS
PHONE NO. NO OF EMPLOYEES
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BUSINESS ID NUMBER
FACILITY CONTACT
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Consent to Inspect Name/Title
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I ROUTINE ❑ COMBINED ❑ JOINTAGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
lance
C V omp OPERATION
C E R S
COMMENT
V =Violation; 1,11 Minor
Violation
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APPROPRIATE PERMIT ON HAND ( BMC:15 :65.080)
3010001i`iia
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BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
1010008
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VISIBLE ADDRESS (CFC: 505.1, BMC :15.52.020)
CORRECT OCCUPANCY (CBC: 401)
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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)
t d N t t e.a rat E� t i t a" T
VERIFICATION OF SDS.AVAILABILITY (CCR: 2729.2(3)(b)).
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VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
1020002
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
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EMERGENCY PROCEDURES ADEQUATE (CCR: 2731
1010010
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CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5)
3030007
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HOUSEKEEPING (CFC: 304.1)
FIRE PROTECTION (CFC: 903 & 906)
3030032
SITE DIAGRAM ADEQUATE .& ON HAND (CCR: 2729.2)
1010005
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ANY HAZARDOUS. WASTE ON SITE? ❑ YES ❑ NO
Si a o Receipt ,
Explain:
wpector:. f
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
FD2155 (Rev
White = Business Copy Yellow - Station Copy ,Pink — Prevention Services , 8//14)