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BAKERSFIELD FIRE DEPT`
UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Hazardous Materials Business Plan
Insnection
Prevention Services
a E R s F r 1a 2101 H Street
*FIRE Bakersfield, CA 93301
ARTM Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
APPROPRIATE PERMIT ON HAND (BMC:15.65.080)
ADDRESS
PHONE NO.
NO OF EMPLOYEES
M
1010008
FACILITY CONTACT
BUSINESS ID NUMBER
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
Consent to Inspect Name/Title
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.ROUTINE ❑ COMBINED ❑ JOINTAGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V = omp lance OPERATION
V =violation; 1,11 Minor
C E RS
Violation
COMMENT
APPROPRIATE PERMIT ON HAND (BMC:15.65.080)
3010001�r
"� �.
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
1010008
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
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CORRECT OCCUPANCY (CBC: 401)
y
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
1010004
VERIFICATION OF QUANTITIES (CCR: 2729.4)
1010006
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o,
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(f), CFC: 2703.5)
3030007
HOUSEKEEPING (CFC: 304.1)
FIRE PROTECTION (CFC: 903 & 906)
3030032
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
Vie, .
ANY HAZARDOUS WASTE ON SITE? DES ❑ NO
1010005
Signature of Recei t n
f'
Explain:
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Inspector: M . '("
POST INSPECTION INSTRUCTIONS:
• Correct the violation(s) noted above by ¢' r tc'4 .
• Within 5 days of correcting all of the violations, sign and return a copy of this page to: Signature at alk�violations have been corrected as noted)
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301 i
Date
White — Business Copy Yellow — Station Copy Pink — Prevention Services i FD2155 (Rev 8H14)