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BAKERSFIELD FIRE DEPT.
Prevention Services
18 F. R 8 IM71
2101 "H Street
UNIFIED PROGRAM INSPECTION CHECKLIST FIRE Bakersfield, CA 93301
AN TWA IF Tel.: (661) 326 -3979
SECTION 1: Hazardous Materials Business Plan/ Fax: (661),.852-2171
Insnection ll
FACILITY NAME
INSPECTION DATE
INSPE ION ME
ADDRESS
PHONE NO.
N0,40F EMPLOYEES
FACILITY CONTACT
BUSINESS ID NUMBER
Consent to Inspect Name/Title
BUSINESS PLAN CONTACT INFORMATION ACCURATE (C3,11:
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ROUTINE El COMBINED ❑ JOINTAGENCY El
MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V = ompiance OPERATION
V= Violation; 1,11 Minor
CERS
Violation
COMMENT
APPROPRIATE PERMIT ON HAND (BM
:15.65.080)
3010001
BUSINESS PLAN CONTACT INFORMATION ACCURATE (C3,11:
2729.1)
1010008
VISIBLE ADDRESS (CFC: 505.1,BM (,:
15.52.020)
CORRECT OCCUPANCY
(CBC: 401)
/ERIFICATION OF INVENTORY MATERIALS (CCR:
2729.3)
1010004
i
YERIFICATION OF QUANTITIES (CR:
2729.4)
1010006
VERIFICATION OF LOCATION (CCR:
2729.2)
PROPER SEGREGATION OF MATERIAL (
FC: 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), GFC:
2703.5)
3030007
HOUSEKEEPING
CFC: 304.1)
FIRE PROTECTION (CF G:
903 & 906)
3030032
SITE DIAGRAM ADEQUATE & ON HAND (CR:
2729.2)
1010005
ANY HAZARDOUS WASTE ON SITE? IS YES ❑ NO
Signature ofRecei t
Explain: �,, „•�
�� `
Inspector: �� I IAW* ' 01`
POST INSPECTION INSTRUCXONSc
•. Correct the violation(s) noted above by
• Within 5 days of correcting all of the violations, sign and return a copy, ofrth A age toga x f Signature (that all violations have been corrected as noted)
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California' 9330
Date
White — Business Copy Yellow — Station Copy Pink — evention Services FD2155 (Rev 8H14)