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BAnRSFIELD FIRE DEPT.
Prevention Services
H s : R s F 2101 H Street
UNIFIED PROGRAM INSPECTION CHECKLIST t INK Bakersfield, CA 93301
A It TAF#I'p
Tel.: (661) 326 -3979
SECTION 1:: Hazardous Materials Business Plan Fax: (661) 852 -2171
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FACILITY NAME
CERS
INSPECTION DATE
INSPECTION TIME
Violation
COMMENT
ADDRESS
r
PHONE NO.
NO OF EMPLOYEES
FACILITY CONTACT
BUSINESS ID NUMBER
Consent to Inspect Name/Title
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
1010008*
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ROUTINE El ❑ COMBINED ❑ JOINTAGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
omp lance
C V 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*
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VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
CORRECT OCCUPANCY (CBC: 401 )
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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)
PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
s
VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b))
VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
1020002
R,
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
w
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
1010010
CONTAINERS PROPERLY LABELED (CCR: 66262.34(fl, 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 nature.ofRecei t f
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
Whiter Business Copy Yellow — Station Copy Pink — Prevention Services
FD2155 (Rev 8H14)