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3P BAKERSFIELD FIRE DEPT.
Prevention Services
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E R s t~ i 2101 H Street
UNIFIED PROGRAM INSPECTION CHECKLIST 'w , Bakersfield, CA 93301
*A*rN
Tel.: (661) 326 -3979
SECTION 1: Hazardous Materials Business Plan Fax: (661) 852 -2171
Insnection
FACILITY NAME .
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INS PEC IOWD TE
INSPECTION TIME
ADDRESS ,�«"�
PHONE NO`.
NO OF EMPLOYEES
FACILITY CONTACT _
BUSINESS ID NUMBER
Consent to Inspect Name/Title
,
171,
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ROUTINE ❑ COMBIN�:, a..k . <.,�5 �. �,,, .�. s ,,.,,z r,s�, r< _ x.�.���d:. �.�:: � „���,���..a ��� ..�,�,� �; ���
ED ❑JOINT AGENCY ❑ MULTI- AGENCY ❑COMPLAINT ❑ RE- INSPECTION
C y= omp lance 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
VISIBLE ADDRESS (CFC: 505.1, BMC:15.52.020)
CORRECT OCCUPANCY (CBC:401)
v
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))
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
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO
Sigma reofReceipt
Explain:
=Ti 3 Y. �t
Inspector: Q
POST INSPECTION IMSTRUCTIONS:
v
• 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 (th "� v'oldfions,, ave been corrected as noted)
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301 _ s .,-
Date
White — Business Copy Yellow — Station Copy Pink — Prevention Services FD2155 (Rev 8//14)