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6A4 w, -- -KERN BUSINESS FORMS — (661) 325- 5818 — #6013
BAKERSFIELD FIRE DEPT.
Prevention Services
` UNIFIED PROGRAM IfiISP:ECTION :CHECKLIST B .E -R :._s F. L —n 2101 H- Street
FIRE
ARYL! Bakersfield,`'CA 93301
S E CT I O N ' 7 . Business Plan and Inventory Program � ° ` Tel.: .(661) 326=3979 =
Fax: (661)'852 -2171
FACILITY NAME -
INSPECTION DATE
INSPECTION TIME
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PHONE NO.
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'NO OF EMPLOYEES
FACILITY CONTACT
BUSINESS ID NUMBER _
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Consent to Inspect Named
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El ROUTINE' COMBINED- ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT RE- INSPECTION
C V C= compliance) . OPERATION
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C O IVI NL E IV T S
V =Violation,.
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❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
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'❑, ell INFORMATION ACCURATE (CCR: 2729:1 )
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Business PLAN CONTACT
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Bi( El VISIBLE ADDRESS (CFC: 505. 1, BMC: 15.52.020)
❑ CORRECT OCCUPANCY (CBC: 401)
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El, VERIFICATION OF INVENTORY MATERIALS, (CCR. 2729.3)1
i ❑ VERIFICATION OF- QUANTITIES (CCR: 2729.4)
El VERIFICATION OF LOCATION (CCR: 2729.2)
11 PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
❑ VERIFICATION OF MSDS AVAILABILITY (CCR: 2729.2(3)(b))
❑ VERIFICATION OF HAZ MATTRAINING (CCR: 2732)
t ,, ❑ VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR :.2731(c))
` ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
� CFC' 2703.5)
TAINERS PROPERLY LABELED (CCR: 66262.340,
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El. HOUSEKEEPING (CFC:304.1)
❑ . �,, FIRE PROTECTION (CFC: 003 & 906)
. bg� .. SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729:2)
ANY'HAZARDOUS WASTE ON SITE? DYES ❑ NO
Siinature of Receipt
Explain:
POST INSPECTION INSTRUCTIONS:
• 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: