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BAKERSFIELD FIRE DEPT.
Prevention Services
Kin: R s P r 1 n 1 u ct, -PPt
UNIFIED PROGRAM °INSPECTION CHECKLIST
�` Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax (561> 8s2 -z 171
SECTION 1: Hazardous Materials Business Plan
inspect, ion
-
FACILITY NAME
INSPECTION DATE
W
INSPECTION TIME
�
— .,
PHONE NO, NO OF EMPLOYEES
ADDRESS
BUSINESS ID NUMBER
FACILITY CONTACT
Consent to Inspect Name/Title
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❑COMPLAINT El RE- INSPECTION
'MROUTINE ❑ COMBINED 171 JOINTAGENCY
MULTI- AGENCY
= omp iance
C V OPERATION
C E R S
COMMENT
V =Violation; 1,11 Minor
violation
APPROPRIATE PERMIT ON HAND (BM
:15.65.080)
3010001
b.
M (CC
BUSINESS PLAN CONTACT INFORMATION ACC URATE
R:2729.1)
1010008
:.
VISIBLE ADDRESS CFC: 505.1, BM
:15.52.020)
kill, `g
'
i
CORRECT OCCUPANCY
(CBC: 401)
VERIFICATION OF INVENTORY MATERIALS (CCR:
2729.3)
1010004
2729.4)
1010006
VERIFICATION OF QUANTITIES (CCR:
2729.2)
VERIFICATION OF LOCATION (CR:
PROPER SEGREGATION OF MATERIAL (CFC:
2704.1)
raw,.
729.2(3)(b))
VERIFICATION OF SDS AVAILABILITY (CCR:
(CCR: 2732)
1020002
VERIFICATION OF HAZ MAT TRAINING
y
CR: 2731(c))
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (
c
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
1010010
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f),
CFC: 2703.5)
3030007
HOUSEKEEPING
�ww
(CFC: 304.1)
FIRE PROTECTION (C
C: 903 & 906)
3030032
CCR: 2729.2)
1010005
SITE DIAGRAM ADEQUATE & ON HAND
WASTE ON SITE? ASE] YES ❑ NO
Signature ofRecei
t
ANY
HAZARDOUS
Explain:
- � y
AAI
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 thi s page to: ignaturel 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 Prevention Services FD2155 (Rev 8H14)
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