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BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
FIRE
UNIFIED PROGRAM INSPECTION CHECKLIST ARTM r Bakersfield; CA 93301
Tel.:, (661) 326 - 3979
SECTION, 1 :. Hazardous M1$eria s Business Plan Fax: (661) 852 -2171
Ins ction ;
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
ADDRESS
PHONE NO.
NO OF EMPLOYEES
6 q CA !.tl�f�oj1�- :aL`g§U� l�3R�,�d���lr4 ��� �,�i=
FACILITY CONTACT
BUSINESS ID NUMBER
! 9Z, A
Consent to Inspect Name /Title
2
::ems. ,., .,: ? < ,,: 7 , ,...:::. � ..: t F, ,.' .+ L F, ra `C,, z3.' ` � c<.ia'.,. '•<4n, .4
ROUTINE ❑ COMBINED ❑ JOINT AGENCY El' MULTI - AGENCY ❑ COMPLAINT RE- INSPECTION
C V = .ompiance OPERATION
CERS
V =Violation; 1,11 Minor
Violation
COMMENT
301000.1
'C C''� l_ � (dam
` ice' !
� .
APPROPRIATE PERMIT ON HAND (BMC: 15:65.080)
_
-•,
IPA rC
2729.1)
..,.
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR;
1010008,
VISIBLE ADDRESS " (CFC: 505.1, BMC: 15.52.020)
CORRECT OCCUPANCY' (CBC: 401)
cc &�
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
1010004
VERIFICATION OF QUANTITIES (CCR: 2729.4)
1010006
f"
VERIFICATION OF LOCATION (CCR: 2729.2)
iit .
PROPER SEGRE ATION OF MATERIAL (CFC:.2704.1)
VERIFICATION OF SDS AVAILABILITY (CCR; 2729.2(3)(b))
VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
1020002
,E l}b^,�,� ! . C t �.��- Q -TCA, IN
�r t� "4,
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
NY - HAZARDOUS WASTE ON SITE? ❑ YES NO
i natureofRecei t
x
Explain: a- V
t .1
Inspector.
. t POST INSPECTIO.,NNSTRUCTIONS r
• Correct theiolation(s) noted above by
Within 5: days of correcting all of the 'vio s, 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. 8H14)