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BAKERSFIELD FIRE DEPT.
Prevention Sirvices
H B R 8 F I
2101 H Street
00"o
UNIFIED PROGRAM INSPECTION CHECKLIST Flits Bakersfield,'CA 93301
Tel.: (661) 326-3979
SECTION 1: Hazardous Materials Business Plan Fax: (661) 852-2171
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FACILITY NAME
NSPECTIO, bl,C(ATE
INSPECTION TIME
ADDRESS
PH6NE Nd
NO OF EMPLOYEES
FACILITY CONTACT
BUSINESS ID NUMBER
Consent to Inspect Namerritle
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P,<6UTINE COMBINED JOINTAGENCY MULTI-AGENCY 0 COMPLAINT EJ RE-INSPECTION
c V C=Compliance OPERATION
CERS
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, BMG
: 15.52.020)
CORRECT OCCUPANCY
(CBC: 401)
VERIFICATION OF INVENTORY MATERIALS ((.',CR:
2729.3)
1010004
VERIFICATION OF QUANTITIES
CR: 2729.4)
10,0006
VERIFICATION OF LOCATION (GCR:
2729.2)
V4,
PROPER SEGREGATION OF MATERIAL (CFC:
2704.1)
V�
VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b))
VERIFICATION OF HAZ MAT TRAINING
CCR: 2732)
1020002
VERIFICATION OF ABATEMENT SUPPLIES& PROCEDURES (CCR:2731(c))
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
1010010
V
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), GFC:
2703.5)
3030007
V
HOUSEKEEPING
�CFC: 304.1)
FIRE PROTECTION (CFC:
903 & 906)
V
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3030032
SITE DIAGRAM ADEQUATE & ON HAND (CCR:
2729.2)
1010005
ANY HAZARDOUS WASTE ON SITE? 0 YES Er NO
Signature of Receip
Explain:
Inspector: Vf
POST INSPECTION INSTRUCTIOW--
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, 2.101 H Street, California 93301
Date
White — Business Copy Yellow — Station Copy Pink — I 'revention Services FD2155 (Rev 8//14)