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BAKERSFIELD FIRE DEPT.
>� f a: s F > Prevention Services
2101 H Street
UNIFI -ED PROGRAM INSPECTION CHECKLIST �'` 2101 Bakersfield, Street
CA 93301
*..AFrmJfJ`
;,, ,, Tel.: (661) 326 -3979
SECTION 1: Hazardous Materials Business Pla Fes: (661) 852 -211
Insneelon
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
ADDRESS
PHONE NO.'
NO OF EMPLOYEES
FACILITY CONTACT f�t� 10
USI NESS ID NUMBER
, ��
S
Consent to Inspect Name/Title
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ROUTINE COMBINED ❑ JOINTAGENCY MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V = omp lance OPERATION
C E RS
V =Violation; 1,11 Minor
Violation
COMMENT
APPROPRIATE PERMIT ON HAND (BM
:15.65.080)
3010001
BUSINESS PLAN CONTACT. INFORMATION ACCURATE
(CCR:
2729.1)
1010008
VISIBLE ADDRESS (CFC: 505.1, BM
:15.52.020)
A.
CORRECT OCCUPANCY
(CBC: 401)
VERIFICATION OF INVENTORY MATERIALS (CCR:
2729.3)
1010004
VERIFICATION OF QUANTITIES (C
CR: 2729.4)
1010006
VERIFICATION OF LOCATION (CCR:
2729.2)
PROPER SEGREGATION OF MATERIAL”
(fC:
2704.1)
VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b))
VERIFICATION OF HAZ MAT TRAINING (CCR:
2732)
1020002
rr
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (C
R: 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 (CCR:
2729.2)
1010005
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO
Oignature
ofRecei t
Explain:
I
. inspectors R LV412D
POST INSPECTION INSTRUCTIONS:�"�.r.
• 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: Si a, ure A all vio tions have been corrected
g � ( as noted)
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
Date
White — Business Copy Yellow — Station Copy Pink — F revention Services FD2155 (Rev ,8H14)