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BAKERSFIELD FIRE DEPT.
Prevention Services
l r 2101 H Street
FIRE
UNIFIED PROGRAM INSPECTION CHECKLIST �I�AtT � Tel.: 661) CA 6 -3979
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
SECTION 1: Hazar ous Materials Business Plan
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INSP -CTION DATE IN
TIME
FACILITY NAME ,. ? ,1 , I
PHONE NO. NO OF EMPLOYEES
ADDRESS ;M
BUSINESS ID NUMBER
FACILITY CONTACT
onsent to Inspect Name/Title
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j � ROUTINE ❑COMBINED ❑ JOINT.AGENCY ❑MULTI - AGENCY ❑COMPLAINT �� � ❑ .RE- INSPECTION
C -V = ompiance OPERATION CERS
v= Violation; 1,11 Minor Violation COMMENT
#
APPROPRIATE PERMIT ON HAND (BMC:15.65.080) 3010001
Oil
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) 101000$
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
” "CORRECT OCCUPANCY (CBC: 401) }:
" ry 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 OFSDS AVAILABILITY (CCR: 2729.2(3)(b))
FICATION OF HAZ MAT TRAINING (CCR: 2732} 1020002
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
I�p <, EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) 1010010
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5) 3030007
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HOUSEKEEPING (CFC: 304.1)
py$ FIRE PROTECTION (CFC: 903 & 906) 3030032
w SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) 1010005
ANY HAZARDOUS WASTE ON SITE? `-0 YES ❑ NO i natureofRecei t
Explain: ..� .._ -
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Inspector:
POST INSPECTION INSTRUCTIONS:
• Correct the violation(s) noted above by
• Within 5 days of correcting all of the violations, sign and return a co of this page to: t ` Siatu�e (that all violations have been corrected as noted)
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Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
Date
White — Business Copy Yellow — Station Copy Pink — Prevention Services FD2155 (Rev 8//14)