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,�. BAKERSFIELD FIRE DEPT,
Prevention Services
H IS R s F I o 2101 H Street
UNIFIED PROGRAM INSPECTION CHECKLIST 'FIRE Bakersfield, CA 93301'
Tel.: (661) '326 -3979
SECTION 1: Hazardous Materials Business Plan
Fax: (661) 852 -2171
Ins ion
FACILITY NAME
INSPECTION DATE.
INSPECTION TIME
V =Violation; 1,11 Minor
Violation
COMMENT
ADDRESS
PHONE NO.
O OF EMPLOYEES
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APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
FACILITY CONTACT
BUSINESS ID NUMBER
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
Consent to Inspect Name/Title
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❑ ROUTINE ErCOMBINED ❑ JOINTAGENCY ❑ MULTI- AGENCY A ❑ COMPLAINTS ❑ RE- INSPECTION
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C V OPERATION
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V =Violation; 1,11 Minor
Violation
COMMENT
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APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
3010001
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
1010008
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
CORRECT OCCUPANCY (CBC: 401),
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)`
1010004
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
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CONTAINERS PROPERLY LABELED (CCR: 66262.34(0, CFC: 2703.5)
3030007
HOUSEKEEPING (CFC: 304.1)
FIRE PROTECTION (CFC: 903 & 906)
3030032
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
1010005
ANY HAZARDOUS WASTE ON SITE? ❑ YES 00—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 H Street, California 93301
Date
White — Business Copy Yellow — Station Copy Pui% Prevention Services FD2155 (Rev 8H14)