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BAKERSFIELD FI
RE DEPT.
Prevention Services
UNIFIED PROGRAM. INSPECTION CHECKLIST , ,';, 2101 H Street
Bakersfield, CA 93301
SECTION 1: Hazardous Materials Business Plan Tel.: (661) 326 -3979
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Inspection: Fax: (661)852- 2171
FACILITY NAME
Y;
INSPECTION DATE
INSPECTION TIME
VERIFICATION OF INVENTORY MATERIALS (CCR:.2729.3)
,1010004
ADDRESS
VERIFICATION OF QUANTITIES (CCR: 2729.4)
PHONE NO.
NO OF EMPLOYEES
VERIFICATION OF LOCATION (CCR: 2729.2)
FACILITY CONTACT
PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
BUSINESS 1D NUMBER
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Cons;ent,to Inspect:Name /Titl.e:' ""
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ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ . RE- INSPECTION
C V C =Compliance OPERATION C E R S -
v= Violation; 1,11 Minor Violation COMMENT
APPROPRIATE PERMIT ON HAND BMC: 15.65.080) 3010001
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CERS INFORMATION.ENTERED & UPDATED ANNUALLY (CCR: 2729.1) 3210043 .
VISIBLE ADDRESS (CFC: 505.1; BMC: 15.52.020)
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POST INSPECTION INSTRUCTICINS:
• Correet the violation(s)noted above by i
• ..
Within 5 days of correcting all of the violations, sign and return a copy of this page `t'o: 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 �� ; S ra FD2155 (Rev 9 /2017)
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CORRECT OCCUPANCY (CBC: 401)
VERIFICATION OF INVENTORY MATERIALS (CCR:.2729.3)
,1010004
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))
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`, VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
1020002.
VERIFICATION OFABATEM'ENT SUPPLIES & PROCEDURES (CCR: 2731:(c))
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EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
1010010
CONTAINERS PROPERLY LABELED (CCR: 66262.34 CFC: 2703.5 )
3030007:
HOUSEKEEPING (CFC: 304.1)
IRE PROTECTION (CFC: 903 & 906)
:: 3030032
SITE DIAGRAM ADEQUATE & ON HAND: (CCR: 2729.2)
1010005
ANY HAZARDOUS WASTE ON SITE? : ❑ YES. /El NO
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Inspector. •.; �!. -'t -',, ' "�'� , �• "'"
POST INSPECTION INSTRUCTICINS:
• Correet the violation(s)noted above by i
• ..
Within 5 days of correcting all of the violations, sign and return a copy of this page `t'o: 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 �� ; S ra FD2155 (Rev 9 /2017)
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