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' BAKERSFIELD FIRE DEPT.
Prevention Services
1: t7 s F r D 2101 H Street
UNIFIED PROGRAM INSPECTION CHECKLIST Flits Bakersfield, CA 93301
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Tel.: (661) 326 -3979
SECTION 1: Hazardous Materials Business Plan
Fax: (661) 852 -2171
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FACILITY NAME „� _ }
A
INS E TION+ DATE
INSPECTION TIME
ADDRESS
s
PHONE No
8 �.2� "
NO OF MPLOYEES
FACILITY CONTACT
BUSINESS ID NUMBER
"1
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Consent to Inspect Namefritle
VISIBLEADDRESS (CFC: 505.1, BMC:15.52.020)
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(ROUTINE ❑COMBINED ❑ JOINTAGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V = omp lance OPERATION
v =Violation; 1,11 Minor 1
C E R S
Violation
COMMENT
APPROPRIATE PERMIT ON HAND (BMC:15.65.080)
3010001
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
1010008
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VISIBLEADDRESS (CFC: 505.1, BMC:15.52.020)
CORRECT OCCUPANCY (CBC: 401)
VERIFICATION.,OF INVENTORY MATERIALS (CCR: 2729.3)
1010004
VERIFICATION OF :QUA NTITIES (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
i natnreo£Recei t
Explain:
jet
Inspector:
ST : S C hONTSTRUCIONS:
• Correeat'the violations) no 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 corn
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301 3
Date
A as noted)
White - Business Copy Yellow — Station Copy Pink — Prevention Services FD2155 (Rev 8//14,)
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