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BAKKERSFIELD FIRE DEPT.
B i? 'R S F t
Prevention Services
--D 2101 H Street
UNIFIED PROGRAM INSPECTION CHECKLIST ' Bakersfield, Ca 93301
Tel.: (661) 326 -3979
SECTION 1: Hazardous Materials. Business Plan Fax: (661) 852 -2171
.Inspection
FACILITY NAME w„
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INSPECTION DATE
INSPECTION TIME
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ROUTINE ❑ COMBINED ❑ JOINTAGENCY 11
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ADDRESS
PHONE NO.
NO OF EMPLOYEES
APPROPRIATE PERMIT ON HAND (BM
:15.65.080)
FACILITY CONTACT
BUSINESS ID NUMBER
BUSINESS PLAN CONTACT INFORMATION ACCURATE (C
R: 2729.1)
Consent to Inspect Name/Title
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ROUTINE ❑ COMBINED ❑ JOINTAGENCY 11
MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION '
C V= omp lance OPERATION
C E R S
V =Violati.on; 1,11 Minor
Violation
COMMENT
APPROPRIATE PERMIT ON HAND (BM
:15.65.080)
3010001
BUSINESS PLAN CONTACT INFORMATION ACCURATE (C
R: 2729.1)
1010008
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VISIBLE ADDRESS (CFC: 505.1, BM G:
15.52.020)
CORRECT OCCUPANCY
(CBC: 401 )
VERIFICATION OF INVENTORY MATERIALS (CCR:
2729.3)
1010004
T:
VERIFICATION OF QUANTITIES (
CR: 2729.4)
1010006
Alt
VERIFICATION OF LOCATION (CCR:
2729.2)
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PROPER SEGREGATION OF MATERIAL (C
FC: 2704.1)
VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b))
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VERIFICATION OF HAZ MAT TRAINING (CCR:
2732)
1020002
a:
`VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (C
R: 2731(0))
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
1010010
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CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), C
FC: 2703.5)
3030007
HOUSEKEEPING i
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
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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 I age to: Signature (that all violations have been corrected as noted)
Bakersfield Fire Dept.; Prevention Services, 2101 H Street, California 93301 - '`' 4 j
Date
White — Business Copy .. Yell'oi -= Station Copy Pink - I tevention Services FD2155 (Re,Y 8J/14)
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