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UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION, 1: Hazardous Materials Business
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BAKERSFIELD FIRE DEPT.
Prevention Services
A 2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -21.71
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
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APPROPRIATE PERMIT ON HAND (BM
:15.65.080)
ADDRESS
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PHONE NO.
NO OF EMPLOYEES,
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2729.1)
1010008
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FACILITY CONTACT
BUSINESS ID NUMBER
Consent to Inspect Name/Title
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M ROUTINE ❑ COMBINED ❑ JOINTAGENCY MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
= omp lance
C V OPERATION
V= Violation; 1,11 Minor
C E R S
Violation
COMMENT
APPROPRIATE PERMIT ON HAND (BM
:15.65.080)
3010001
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BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR:
2729.1)
1010008
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VISIBLE ADDRESS (CFC: 505.1, BM,',:
15.52,020)
CORRECT OCCUPANCY
(CBC: 401)
VERIFICATION OF INVENTORY MATERIALS (CR:
2729.3)
1010004
VERIFICATION OF QUANTITIES (CCR:
2729.4)
1010006
VERIFICATION OF LOCATION (CR:
2729.2)
PROPER SEGREGATION OF MATERIAL (CFC:
2704.1)
VERIFICATION OF SDS AVAILABILITY (CCR:
729.2(3)(b))
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
1020002
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VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CR:
2731(c))
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
1010010
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CONTAINERS PROPERLY LABELED CCR: 66262.34 f ,
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CFC: 2703.5)
3030007
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HOUSEKEEPING
(CFC: 304.1)
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FIRE PROTECTION (CFC:
903 & 906)
3030032
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SITE DIAGRAM ADEQUATE & ON HAND
CCR: 2729.2)
1010005
ANY HAZARDOUS WASTE ON SITE? VPYES ❑ NO
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Inspector. ' ,
POST INSPECTION INSTRUCTIONS: t 1
• Correct the violation(s) noted above by , a
• Within 5 days of correcting all of the violations, sign and return a copy of thi 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 I Prevention Services
FD2155 (Rev 8H14)