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BAKERSFIELD FIRE DEPT.
Prevention Services
H B R 8 IF ;1;71 D 2101 H Street
UNIFIED PROGRAM INSPECTION CHECKLIST "��` Bakersfield, CA 93301
' f Tel.: (661) 326 -3979
SECTION 1: Hazardous Materials Business Plan Fax: (661) 852 -2171
Insaection.
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FACILITY NAME
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INSPECTION DATE
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INSPECTION TIME
ADDRESS
PHONE'NO.
NO"OF EMPLOYEES
FACILITY CONTACT —
BUSINESS ID NUMBER
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
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Consent to Inspect Name/Title + M
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�. :9"ROUTINE El COMBINED 1:1 JOINTAGENCY El MULTI-AGENCY ❑COMPLAINT ❑ RE- INSPECTION
C V C=Coompliance 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)
OKI
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))
41. 1,
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
N
HOUSEKEEPING (CFC: 304.1)
FIRE .PROTECTION (CFC: 903 & 906)
3030032
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2
1010005
ANY HAZARDOUS WASTE ON SITE? DYES ❑ NO
Signa tureofRecei t
Explain: -
AIJ '�'; J A A i A _j
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) i
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
Date
White — Business Copy Yellow - Station Copy Pink — Prevention Services
FD2155 (Rev 8//14)