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BAKEIR2,SFIELD FIRE DEPT.
'000� Prevention Services
B B R 8 F I ID 2101 H Street
UNIFIED PROGRAM INSPECTION CHECKLIST FIN Bakersfield, CA 93301
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Tel.: (661) 326-3979
SECTION 1� Hazardous Materials Business Plan Fax: (661) 852-2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
V=Violation; 1,11 Minor
Violation
COMMENT
ADDRESS 4 V
PHONE NO.
NO OF EMPLOYEES
FACILITY CONTACT
BUSINESS ID NUMBER
Consent to Inspect Name/Title
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.,%Q)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))
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
1010010
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5)
3030007
HOUSEKEEPING (CFC: 304.1)
FIRE,PROt..ECTION (CFC: 903 & 906)
3030032
SITE UATE &.ON HAND (CCR: 2729.2)
1010005
ANY HAZARDOUS WASTE YES ❑ NO
Signature of Receivt
Explain:
Inspector:
POST INSPECTION INSTRUCTIONS: 4
• Correct the violation(s) noted above by
• Within 5 days of correcting all of the violations; sign andreturn a copy of this page to: Sitqafur' (th& all violations have been corrected as noted)
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
Date
White — Business Copy Yellow — Station Copy Pink — Prevention Services FD2155 (Rev 8H14)
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