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BAKERSFIELD FIRE DEPT.
Prevention ' Services
4E.!P s �It
2101 H Street
UNIFIED PROGRAM INSPECTION CHECKLIST Bakersfield, CA 93301
ANY )
Tel,: (661) 326 -3979
SECTION 1: Hazardous Materials Business Plan Fax: (661) 852 -2171
Inspection
FACILITY NAME INSPE TION JDATE INSPECTION TIME
r_ .,;
AD R S r PHONE NO. NO OF EMPLOYEES
>I ,.� • ,
FACILITY CONT CT .„ BUSINESS ID NUMBER
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Consent to Inspect Namelritle
��xb. -'s ' , .�. n. ,R v>. . �,RR,.rb -
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Explain:,
VISIBLE ADDRESS (CFC: 505.1, B C: 15.52.020)
CORRECT OCCUPANCY (CBC:401)
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) 1010004
VERIFICATION OF QUANTITIES
(CCR: 2729.4) 1010006
VERIFICATION OF LOCATION (CR: 2729.2);
PROPER SEGREGATION OF MATERIAL ( FC: 2704.1)
VERIFICATION OF SDS AVAILABILITY (CCR: 729.2(3)(b))
VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) 1020002
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CR: 2731(c))
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) 1010010
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), FC: 2703.5) 3030007
HOUSEKEEPING (CFC:304.1)
FIRE PROTECTION (CF C: 903 & 906) 3030032
SITE DIAGRAM ADEQUATE & ON HAND (I-OCR: 2729.2) 1010005
A.NY HAZARDOUS W A Spr O N SITE ?
0 YES i nature of N `
r”
Inspector:/2'T
POST IN CTION INSTRUCTIONS:
• Correct the violation(s) noted above by
0 Within 5 days of correcting all of the violations, sign and return a copy of this age to: Signature
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 9330
Date
White Business Copy Yellow — Station Copy Pink— 3revention Services FD2155. (Rev 8//14)
Inspector:/2'T
POST IN CTION INSTRUCTIONS:
• Correct the violation(s) noted above by
0 Within 5 days of correcting all of the violations, sign and return a copy of this age to: Signature
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 9330
Date
White Business Copy Yellow — Station Copy Pink— 3revention Services FD2155. (Rev 8//14)