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BAKERSFIELD FIRE DEPT.
Prevention Services
UNIFIED. PROGRAM INSPECTION CHECKLIST , {. 2101,HStreet
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Bakersfield, CA 93301.
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Tel.: (661 326 =3979
SECTION 1: Hazardous Materials BusinessPlan�` (661)
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Insod" dioin
INSPECTION DATE INSPECTION TIME
FACILITY NAME
ADDRESS PHONE NO.*° t NO OF EMPYEES
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BUSINESS ID NUMBER
FACILITY CONTACT
Consent to Inspect Name /Title
N.
7777,777777777
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RE-INSPECTION
ROUTINE
❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT
C V c =Compliance O P E RAT i O N „C E RS
Violation COMMENT'
V= Violation, 1,11 Minor #
BMC: 15:65.080). 3010001,1 "
APPROPRIATE PERMIT ON HAND
'CER INFORMATION ENTERED & UPDATED ANNUALLY (CCR: 2729.1) 3210043 .
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
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 ft 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? .[AYES ❑ NO
Si nature`of Recei
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Explain:
Inspector"`M "'.-,.
POST INSPECTIOIINSTRUCTIONS ) .
Correct the violation(s) noted above by - Signature that all violations have been corrected as noted)'
Within 5 days of correcting all of the.violations;. sign and return a copy of this page to:
Bakersfield Fire Dept.; Prevention Services; 2101 H Street,, California 93301 Date
4x pink — Prevention Services FD2155 (Rev 9/2017)
White- Business Copy Yellow — Station Copy f,