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BAKERSFIELD FIRE DEPT.
Prevention Services
B F, R s F t >J 2101 H Street
UNIFIED PROGRAM INSPECTION ARTAFfIF Bakersfield, CA 93301
Tel.: (661) 326 -3979
SECTION 1: Hazardous Materials Business Plan Fax: (661) 852 -2171
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FACILITY NAME "`
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INSPECTION DATE
INSPECTION TIME
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COMMENT
ADDRESS
PHONE NO,
NO OF EMPLOYEES
APPROPRIATE PERMIT ON HAND (BMC:
15.65.080)
FACILITY CONTACT
BUSINESS ID NUMBER
Consent to Inspect Name/Title
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR:
.
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❑ ROUTINE ❑ COMBINED ❑ JOINTAGENCY E MULTI-AGENCY V ❑ COMPLAINTS ❑ RE- INSPECTION
C V =Compliance
OPERATION
CERS
x
V =Violation; 1,11 Minor
Violation
COMMENT
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APPROPRIATE PERMIT ON HAND (BMC:
15.65.080)
3010001;
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR:
2729.1)
1010008
x, c'»
VISIBLE ADDRESS (CFC: 505.1, BM
:15.52.020)
CORRECT OCCUPANCY
(CBC: 401)"
�+a
-
VERIFICATION OF INVENTORY MATERIALS (
CR: 2729.3 )
1010004
VERIFICATION OF QUANTITIES (CR:
2729.4)
1010006"''ti
I"
VERIFICATION OF LOCATION (CC
R: 2729.2)
PROPER SEGREGATION OF MATERIAL (C
FC: 2704.1)`
VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b))
:I' r,
VERIFICATION OF HAZ MAT TRAINING
CCR: 2732)
1020002
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (C
R: 2731(c))
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
1010010
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), GFC:
2703.5)
3030007
HOUSEKEEPING
(CFC: 304.1)
N.
FIRE PROTECTION (CFC:
903 & 906)
3030032r;,.
SITE DIAGRAM ADEQUATE & ON HAND (CCR:
2729.2)
1010005
ANY HAZARDOUS WASTE ON SITE? Na —YES ❑ NO
i natureofRecei t
Ex Lain:
N
Inspector:'p
POST INSPECTION INSTRUCTIONS:
• Correct the violation(s) noted above by3 °°
• 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 9330 .
Date
White - Business Copy Yellow – Station Copy Pink – Prevention Services FD2155 (Rev 8//14)