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BAKERSFIELD FIRE DEPT.
Prevention Services
B E R s F> 0 2101 H Street
UNIFIED PROGRAM INSPECTION CHECKLIST FIRS Bakersfield, CA 93301
Tel.: (661 ) 326 -3979
SECTION 1: Hazardous Materials Business Plan Fax (66 1) 852 -2171
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FACILITY NAM -
CERS
Violation
INSPECTION DATE
INSPECTION TIME
APPROPRIATE PERMIT ON HAND (BMC:15.65.080 )
3010001
ADDRESS
PHONE NO.
NO OF EMPLOYEES
VISIBLE ADDRESS (CFC: 505.1, BMC:15.52.020)
FACILITY CONTACT
BUSINESS ID NUMBER
Consent to Inspect Name/Title
CORRECT OCCUPANCY (CBC :401)
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ROUTINE ❑COMBINED ❑JOINT AGENCY ❑MULTI - AGENCY ❑COMPLAINT ❑ RE- INSPECTION
C V C=Gompliance 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)
s
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
1010004
NO
VERIFICATION OF QUANTITIES (CCR: 2729.4)
1010006
VERIFICATION OF LOCATION (CCR: 2729.2)
PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
VERIFICATION OF SDS AVAILABILITY 4 C (CCR: 2729.2(3)(b))
�1
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 14 NO
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Explain:
Inspector:
POST INSPECTION INSTRUCTIONS:
• 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 Pink — Prevention Services FD2155 (Rev 8//14)