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BAKERSFIELD FIRE DEPT.
Prevention Services
t 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
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INSPECTION DATE
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INSPECTION TIME
ADDRESS
APPROPRIATE PERMIT ON HAND (BMC:15.65.080)
PHONE NO.
NO OF EMPLOYEES
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1010008
FACILITY CONTACT
BUSINESS ID NUMBER
VISIBLE ADDRESS (CFC: 505.1,BMC: 15.52.020)
onsent to Inspect Name/Title
CORRECT OCCUPANCY (CBC: 401)
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❑ ROUTINE ❑ COMBINED ❑ JOINTAGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V = ompiance OPERATION
V =violation; 1,11 Minor
CERS
Violation
COMMENT
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)
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1010004
may.
VERIFICATION OF QUANTITIES (CCR: 2729.4)
1010006
°
A
VERIFICATION OF LOCATION (CCR: 2729.2)
V
PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
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VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b)),,
1
VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
1020002
,
1 1
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
1010010
i
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5)
3030007
HOUSEKEEPING (CFC: 304.1)
FIRE PROTECTION (CFC: 903 & 906)
3030032
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
1010005
NY HAZARDOUS WASTE ON SITE? ❑ YES ❑ 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 Pink — Prevention Services FD2155 (Rev 8//14)