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rm BAKERSFIELD FIRE DEPT.
Prevention Services
F R S F t n 2101 H Street
UNIFIED PROGRAM INSPECTION
CHECKLIST CHECKLIST Bakersfield CA 93301.
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Tel.: (661) 326 -3979
SECTION 1 Hazardous Materials Business Plan Fax: (661) 852.2171
Ins ion
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
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APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
ADDRESS
PHONE NO.
NO OF EMPLOYEES
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
1010008
FACILITY CONTACT a
BUSINESS ID NUMBER
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
Consent to Inspect Namefritle t
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(ROUTINE ❑ COMBINED ❑ 'JOINTAGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION'
C V C=Compiiance OPERATION
V =Violation; 1,11 Minor
CERS
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)
f
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
.1010004
VERIFICATION OF QUANTITIES (CCR: 2729.4)
1010006
t
VERIFICATION OF LOCATION (CCR: 2729:2)
PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
r
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
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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? DYES ❑ NO
Sig natureofRecei t
Explain: <�0(,,
Inspector:
POST INSPECTI0A INSTRUC PONS:
• 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
White - Business Copy Yellow - Station Copy p gent Services FD2155 (Rev 8H14)