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v BAKERSFIELD FIRE DEPT.
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.. Prevention Services
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UNIFIED PROGRAM INSPECTION CHECKLIST ,� rM Bakersfield, CA 93301
SECT 1 O N, 1: Hazardous Materials
Inspection
Tel.: (661) 326 -3979
la Fax: (661) 852 -2171
FACILITY NAME .yi
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INSPEC ION DATE
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INSPECTION TIME
ADDRESS „-
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APPROPRIATE PERMIT ON HAND
PHONE NO.
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NO OF EMPLOYEES`
FACILITY CONTACT ,�g �,.�^
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BUSINESS ID NUMBER
BUSINESS PLAN CONTACT INFORMATION
ACCURATE (CCR:
2729.1)
1010008
onsent to Inspect Name/TiVe
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(CFC: 505.1, B
C: 15.52.020)
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CERS
Violation
COMMENT
R'
APPROPRIATE PERMIT ON HAND
(B
(ROUTINE ❑ COMBINED ❑ JOINTAGENCY
3010001
MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V = ompiance OPERATION
V =Violation; 1,11 Minor
CERS
Violation
COMMENT
R'
APPROPRIATE PERMIT ON HAND
(B
C: 15.65.080)
3010001
BUSINESS PLAN CONTACT INFORMATION
ACCURATE (CCR:
2729.1)
1010008
VISIBLE ADDRESS
(CFC: 505.1, B
C: 15.52.020)
CORRECT OCCUPANCY
(CBC: 401)
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
1010004
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VERIFICATION OF QUANTITIES
(CCR: 2729.4).
1010006
VERIFICATION OF LOCATION
(CCR: 2729.2)
PROPER SEGREGATION OF MATERIAL'
(CFC: 2704.1)
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
CONTAINERS PROPERLY LABELED
(CCR: 66262.34(f)
CFC: 2703.5)
3030007
HOUSEKEEPING
(CFC: 304.1)
FIRE PROTECTION
(CFC:
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903 & 906)
3030032
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SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2)
1010005
ANY HAZARDOUS WASTE ON SITE? ❑
YES w�, NO
i natureofRecei t
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 page to: Signature (that all violations have been corrected as noted)
Bakersfield Fire Dept., Prevention Services, 2101 Street, California 93201
Date
White - Business Copy Yellow — Station Copy Pink Prevention Services FD2155 (Rev 804)
4.