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BAKERSFIELD FIRE DEPT.
Prevention Services
r t 2101 H Street
UNIFIED PROGRAM INSPECTION CHECKLIST PIN- ' Bakersfield, ea 93301
Tel.: (661) 326 -3979
SECTION 1: Hazardous Materials Business Plan Fax: (661) 852 -2171
Inspection
FAILITYNAME INSPE : ION D TE INSPECTION TIME
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ADDRESS _(
PHONE NO. NO OF EMPLOYEES
FACILITY CONTACT BUSINESS ID NUMBER
Consent to Inspect Name/Title
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ROUTINE ❑ COMBINED ❑ JOINTAGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ 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
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
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)) I
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EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) 1010010
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5) 3030007
HOUSEKEEPING G (CFC: 304.1)
FIRE PROTECTION (CFC: 903 & 906)
3030032:
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) 1010005
NY HAZARDOUS WASTE ON SITE? 0 YES NO ii nature ofRecei t
Explain: l
Inspector: -
POST INSPECTION INgTRUCTIONS: )
• Correct the violation(s) noted above by
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• Within 5 days of correcting all of the violations, sign and return a copy of this page to: Sigmatu a (tae ' `v of iiops have b n corrected as noted)
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301 t,
Date", ,..J r .
White — Business Copy Yellow — Station Copy Pink — Prevention Services : FD2155 (Rev 8H14)
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