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BAKERSFIELD' FIRE DEPT.
Prevention Services
a E R s I It 2101 H Street
UNIFIED PROGRAM INSPECTION CHECKLIST ' FIRE Bakersfield, CA 93301
TAIL Tel.: (661) 326 -3979
SECTION 1: Hazardous Materials Business Plan Fax: (661) 852 -2171
Inspection
FACILITY NAME
CERS
INSPECTION DATE
INSPECTION TIME
COMMENT
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ADDRESS
APPROPRIATE PERMIT ON HAND (BMC:15.65.080)
3010001
PHONE NO.
NO OF WRLOYEES
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FACILITY CONTACT
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
USINESS ID NUMBER
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Consent to Inspect Name/Title
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Y
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;...,,_ ..,. ®``ROUTINE,., ❑ COMBINE...
D ❑ JOINTAGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V C= Compliance OPERATION
CERS
V= Violation; 1,11 Minor
Violation
COMMENT
APPROPRIATE PERMIT ON HAND (BMC:15.65.080)
3010001
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
1010008
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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
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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
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 ❑ NO
i ture- ofRecei t
xplain:
Inspector: a
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 viola[ ons 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 8H14)