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BAKERSFIELD FIRE DEPT.
Prevention Services
R u ., E R s qT7 n 2 101 H Street
UNIFIED PROGRAM INSPECTION CHECKLIST '��'m Bakersfield, CA 93301
a1R'N! F Tel.: (661) 326 -3979
SECTION 1: Hazardous Materials Business Plan Fax: (661) 852 -2171
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FACILITY NAME INSPECTION DATE INSPECTION TIME
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ADDRESS 121 PHONE NO. NO OF EMPLOYEES
BUSINESS ID NUMBER
FACILITY CONTACT
Consent to Inspect Name/Title
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JOINTAGENCY El MULTI - AGENCY COMPLAINT RE- INSPECTION
C V C=Compuance . 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)
ly, 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 UPPLIES & PROCEDURES (CCR: 2731(c))
(CCR: 2731) 10EMERGENCY PROCEDURES ADEQUATE 10010
CONTAINERS PROPERLY LABEL D (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 Signature ofRecei t
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JOINTAGENCY El MULTI - AGENCY COMPLAINT RE- INSPECTION
C V C=Compuance . 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)
ly, 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 UPPLIES & PROCEDURES (CCR: 2731(c))
(CCR: 2731) 10EMERGENCY PROCEDURES ADEQUATE 10010
CONTAINERS PROPERLY LABEL D (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 Signature ofRecei t
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Inspector. :
POST INSPECTION
I
O
J
• Correct the violation(s) noted above by
noted)
• Within 5 days of correcting all of the violati, ns, sign and return a copy of this page to Signature (that all violations have been con
Bakersfield Fire Dept., Prevention Service , 2101 H Street, Califorr93301 i Date Li
White — Business Copy Yellow — Station Copy Pink — Prevention Services FD2155 (Rev 8//14)
:
Inspector. :
POST INSPECTION
I
O
J
• Correct the violation(s) noted above by
noted)
• Within 5 days of correcting all of the violati, ns, sign and return a copy of this page to Signature (that all violations have been con
Bakersfield Fire Dept., Prevention Service , 2101 H Street, Califorr93301 i Date Li
White — Business Copy Yellow — Station Copy Pink — Prevention Services FD2155 (Rev 8//14)