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BAKER$FIELD FIRE DEPT: -
,� : Preven ` �n :Services.
H s r �.- n 2101 H Street
UNIFIED PROGRAM INSPECTION CHECKLISTrR Bakersfield, CA 93301
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Tel.: (661) 326 -3979
SECTION 1. Hazardous Materials Business Plan Fax: (661) ss2 171
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FACILITY NAME
INSPECT[ N DATE
INSPE,f}CpTION TIME
ADDRESS
PHONE' NOY/
NO OF EMPLOYEES
FACILITY CONTACT
BUSINESS. ID NUMBER
Consent to Inspect Name/Title
I'
5
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4
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POST INSPECTION INSTRUCTIONS:`
Correct the violation(s) noted above by * `
x Within 5 days of correcting all of the violations, sign and return a copy of this page to: Signature (that all violations hayeen corrected as noted)
i4 Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
Date
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White — Business Co` Yellow = Station Co Pink — Prevention Services FD2155 (Rev 8!/14)
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