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BAKERSFIELD FIRE DEPT.
Prevention Services
a MRS r '" D 2101 H Street
UNIFIED PROGRAM INSPECTION CHECKLIST FiRF Bakersfield, CA 93301
ANY Tel.: (661) 326 -3979
SECTION 1 Hazardous Materials Business Plan ff Fax: (661) 852 -2171
FACILITY NAME
,
INSPECTION DATE
INSPECTION TIME
unt WC,
Violation
COMMENT
ADDRESS
PHONE NO.
NO OF EMPLOYEES
FACILITY CONTACT
kAN,11A
APPROPRIATE PERMIT ON HAND (BMC
USINESS ID NUMBER
g
onset to Inspect Name/Title
R: 2729.1)
rt
,
ROUTINE ❑ COMBINED ❑ JOINTAGENCY ❑
MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V = ompiance OPERATION
CERS
V =Violation; 1,11 Minor
Violation
COMMENT
APPROPRIATE PERMIT ON HAND (BMC
15.65.080)
3010001
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR:
R: 2729.1)
1010008
VISIBLE ADDRESS (CFC: 505.1, BMC:15.52.020)
CORRECT OCCUPANCY
(CBC: 401)
VERIFICATION OF INVENTORY MATERIALS (C
R: 2729.3)
1010004
VERIFICATION OF QUANTITIES (CCR:
2729.4)
1010006
VERIFICATION OF LOCATION (C
R: 2729.2)
PROPER SEGREGATION OF MATERIAL (C
C: 2704.1)
VERIFICATION OF SDS AVAILABILITY (CCR: 2
29.2(3)(b))
F
VERIFICATION OF HAZ MAT TRAINING (CCR:
2732)
1020002
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (C
R: 2731(c))
EMERGENCY PROCEDURES ADEQUATE
CCR: 2731)
1010010
a "
a�
CONTAINERS PROPERLY LABELED (CCR: 66262.34(0, C
FC: 2703.5)
3030007
•
HOUSEKEEPING
CFC: 304.1)
�,.
,,•
FIRE PROTECTION (CF C:
903 & 906)
3030032
SITE DIAGRAM ADEQUATE & ON HAND (C
CR: 2729.2)
1010005
ANY HAZARDOUS WASTE ON SITE? ❑ YES 14
i tureofReceipt
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 age to:
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 9330
White — Business Copy Yellow - Station Copy Pink — �Drevention Services
Sfgnature(th all Mons have been corrected as noted)
Date
FD2155 (Rev 8//14)