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11NIFIF11 PROGRAM INSPECTION CHECKLIST
SECTION 1: Hazardous Materials Business Plan
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BAKERSFIELD FIRE DEPT.
FACILITY NAME"
CERS
INSPECTION DATE w
INSPECTION TIME
COMMENT
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ADDRESS "°'
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1010008
PHONE NO J „.
NO OF EMPLOYEES
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)'
CORRECT OCCUPANCY (CBC: 401)
BUSINESS ID NUMBER
FACILITY CONTACT
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
1010004
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Consent to Inspect Name /Title
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VERIFICATION OF LOCATION (CCR: 2729.2)
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`ROUTINE ❑ COMBINED ❑ JOINT AGENCY El MULTI-AGENCY El COMPLAINT 17. RE- INSPECTION
C V C=Gompliance OPERATION
CERS
V= Violation; 1,11 Minor
Violation
COMMENT
, ,
APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
3010001
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
1010008
fitY
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)'
CORRECT OCCUPANCY (CBC: 401)
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
1010004
VERIFICATION OF QUANTITIES (CCR: 2729.4)
1010006
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VERIFICATION OF LOCATION (CCR: 2729.2)
PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
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M
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VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b)),t
A
VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
11020002
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VERIFICATION OF ABATEMENT SUPPLIES &PROCEDURES (CCR: 2731.(c))
x
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
1010010
a„
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
ANY HAZARDOUS WASTE ON SITE? ❑ YES Q NO,
Signature ofRecei t
Explain:
Inspector r e .zz k40
.A
POST INSPEqaTION INSTRUCTX6NS: A
• 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
f White = Business Copy Yellow — Station Copy Pink - Prevention Services FD2155 (Rev 8//14)