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BAKERSFIELD FIRE `DEPT.
Prevention Services
UNIFIED - PROGRAM INSPECTION CHECKLIST 2141 H Street
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Bakersfield, GA 93301
HaZ -Mat Business Plan and Inventory Program Tel.: (661) 326 -3979
Fax:.. '(661) 852 -2171
FACT TY NAME ANSPECTION
DATE
INSPECTION TIME
COMMENTS...,
❑
VISIBLE ADDRESS (CFC: 505.1; BMC: 15.52.020)
ADDRESS -
PHONE NO.
NO OF EMPLOYEES'
(BMC: 15.65.080)
-
❑
FACILITY CONTACT
BUSINESS ID NUMBER
'❑
Consent to Inspect Name /Title /
wl
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19-,ROUTINE COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V
C= Compliance OPERATION
( E RATI O N
V =Violati6n
COMMENTS...,
❑
VISIBLE ADDRESS (CFC: 505.1; BMC: 15.52.020)
D
APPROPRIATE PERMIT ON HAND -
(BMC: 15.65.080)
-
❑
CERS UPDATED FOR THE CURRENT CALENDAR YEAR
(H &S 25404(e)
'❑
BUSINESS PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
N—C ❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
[ ❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
`0- ❑
eel
VERIFICATION OF LOCATION
(CCR: 2729.2)
aL: ❑
PROPER SEGREGATION OF MATERIAL
(CFC: 5604. 1)
❑
SAFETY DATA SHEET AVAILABILITY
(CCR: 2729.2(3)(b))
❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731(c))
. ❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
D
CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
®' ❑
HOUSEKEEPING
(CFC: 304.1)
'" : ❑
FIRE PROTECTION
(CFC: 903 & 906)
El
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2 (3)).
ANY HAZARDOUS WASTE ON SITE? YES ❑
NO
Explain:
i nature Recei ta-
MUST 11VSY1+;t;•1'1V1V 11V6'1'KUU'lIV1VN rUK ICE I UKly- lv- %- V1VWU1A1VC.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
Bakersfield Fire Dept:, Prevention Services, 2101 H Street, California 93301
White .—Business Copy Yellow — Business Copy to be Sent in after return to Compliance
Signature (that all violations have been corrected as noted)
Date
Pink Prevention Services Copy FD2155 (Rev 1/14)