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BAKERSFIELD FIRE DEPT.
Prevention Services
B B. R 3 to t 1' 2101 H Street
UNIFIED PROGRAM INSPECTION CHECKLIST A Bakersfield, CA 93301
Tel.: (661) 326 -3979
SECTION 1: Hazardous Materials Business Plan Y(rte Fax: (661) 852 -2171
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FACILITY NAME
INSPECTION DATE
INSPECTION TIME
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APPROPRIATE PERMIT ON HAND (BMC:15.65.080)
ADDRESS
PHONE NO.
110
NO OF EMP OYEES
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FACILITY CONTACT
BUSIIN' ESS ID NUMBERQ
1010008
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Consent to Inspect Name/Title
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
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'ROUTINE ❑ COMBINED ❑ JOINTAGENCY ❑ MULTI - AGENCY ❑ COMPLAINT _ a❑ RE- INSPECTION
C V = ompiance OPERATION
V =Violation; 1,11 Minor
CERS
Violation
COMMENT
APPROPRIATE PERMIT ON HAND (BMC:15.65.080)
3010001
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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
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VERIFICATION OF LOCATION (CCR: 2729.2)
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PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b))
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VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
1020002
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VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
1010010
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 27,03.5)
3030007
HOUSEKEEPING (CF 304.1)
FIRE PROTECTION '(CFC: 903 & 906)
3030032.E
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SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
1010005
ANY HAZARDOUS WAS,T'E ON-SITE? ❑ YES BrNo
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Explain:
Inspector:
POST INSPECTIONIINSTRUCTIONS: M W
• Come t the violation(s) noted above by iu sr�
• 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 HStreet, California 93301
Date
White — Business Copy Yellow — Station Copy Pink — Prevention Services FD2155 (Rev 8//14)