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m BAKERSFIELD FIRE DEPT.
Prevention Services
a 1= R s t 1 n' 2101 H Street
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UNIFIED PROGRAM INSPECTION CHECKLIST Bakersfield, CA 93301
Tel.: (661) 326 -3979
SECTION 1: Hazardous Materials Business Plan Fax: (66 1) 852 -2171
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FACILITY NAME
INSPECTION DATE
INSPECTION TIME
V =Violation; 1,11 Minor
d
COMMENT
ADDRESS
PHONE NO.
NO OF EMPLOYEES
APPROPRIATE PERMIT ON HAND (BMC:15.65.080)
FACILITY CONTACT
BUSINESS ID NUMBER
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Consent to Inspect Name/Title
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CI ROUTINE ❑ COMBINED ❑ JOINTAGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V C=Gompliance 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
VISIBLE ADDRESS (CFC: 505.1, BMC:15.52.020)
CORRECT OCCUPANCY (CBC: 401)
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
1010004
f
v%FRIFICATION OF QUANTITIES (CCR: 2729.4)
1010006
V',
F
VERIFICATION &F`LOCATION (CCR: 2729.2)
PROPER- SEGREGATk'ON OF MATERIAL (CFC: 2704.1)
VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b))
VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
1020002
VERIFICATION OF ABATEMEr.NT'SUPPLIES & PROCEDURES (CCR: 2731(c))
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
1010010
{,
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5)
3030007
HOUSEKEEPING (CFC: 304.1)
FI�E PROTECTION u, , (CFC: 903 & 906)
3030032
V 'iz
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
1010005
ANY HAZARDOUS WASTE ON SITE? ❑ YES Me'NO
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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 Strftt, California 93301
Date
White - Business Copy Yellow Station Copy Pink — Prevention Services FD2155 (Rev 8//14)