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r. y BAKERSFIELD FIRE DEPT.
Prevention Services
JA a" 2101 H Street
/r� UNIFIED PROGRA'M INSPECTION' CHECK`Ll'S Bakersfield, CA 93301
Tel.: (661) 326 -3979
SECTION 1: Hazardous Materials Business Plan
Fax: (661) 852 -2171
Ins ion Ir
FACILITY NAME INSPECTION DATE INSPECTION TIME
ADDRESS PHONE NO. NO OF EMPLOYEES
BUSINESS ID NUMBER
FACILITY CONTACT
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Consent to Inspect Name/Title
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ROUTINE ❑COMBINED ❑JOINT AGENCY El MULTI-AGENCY ❑ COMPLAINT El RE-INSPECTION
omp Dance
C V OPERATION
C E R S
violation
COMMENT
V= Violation; 1,11 Minor
APPROPRIATE PERMIT ON HAND (BMC:15.65.080)
3010001
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
1010008
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
CORRECT OCCUPANCY (CBC: 401)
F., I
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
JF
•" V E RIFICATION'OF QUANTITIES (CCR: 2729.4)
1010004
1010006
r' i
VERIFICATION OF LOCATION (CCR: 2729.2)
PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
VERIFICATION OF SDS AVAILABILITY (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(f), CFC: 2703.5)
3030007
HOUSEKEEPING (CFC: 304.1)
FIRE PROTECTION (CFC: 903 & 906)
3030032
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) 1010005
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�' i nature of Recei t ` ° '` r °` .r�'• ,•"`'
ANY HAZARDOUS WASTE ON SITE? 2 YES ❑ NO
. .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).