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B-A ERSFIELD FIRE DEPT'.
Prevention Services
B E R 8 F 1' D 2101 H Street
UNIFIED PROGRAM INSPECTION CHECKLIST FIRM Bakersfield, CA 93301
*A& rm f Tel.: (661) 326 -3979
SECTION 1 Hazardous Materials. Business Plan Fax: (661) 852 -2171
Ins ion
FACILITY NAME
INSPECTION DATE
Apy
INSPECTION TIME
M 0V
APPROPRIATE PERMIT ON HAND (BMC: 15. 65.080)
ADDRESS
PHONE NO.
NO OF EMPLOYEES
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
1010008
FACILITY CONTACT
BUSINESS ID NUMBER
t
VISIBLE ADDRESS (CFO: 505.1, BMC: 15.52.020)
Consent to Inspect'Name/Title
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CROUTINE ❑COMBINED ❑JOINT AGENCY ❑ MULTI- AGENCY ❑COMPLAINT ❑ RE- INSPECTION
omp lance
C �/ OPERATION
V= Violation; 1,11 Minor
C E R S
Violation
COMMENT
APPROPRIATE PERMIT ON HAND (BMC: 15. 65.080)
3010001
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
1010008
1
VISIBLE ADDRESS (CFO: 505.1, BMC: 15.52.020)
f
CORRECT OCCUPANCY (CBC: 401)
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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 AVAILABILITY (CCR: 2729.2(3)(b))
f ` -, S5f
c
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)
FIRE PROTECTION (CFC: 903 & 906)
3030032
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
,r
1010005
ANY HAZARDOUS WASTE ON SITE? ❑ YES C9-"NO
Signiture ofRecei_t
/ �( !,,
Explain:
Inspector:—
POST INSPEmbN INSTRUCTIONS:
a�r
• Correct the violation(s) noted above,by LP
• 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, 2,101 H Street, California 93301
Date
White — Business Copy Yellow — Station Copy Pink Prevention Services FD2155 (Rev 8H14)