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BAKERSFIELD FIRE DEPT.
Prevention Services
B E R s F t r�”' D 21011-1 Street
UNIFIED PROGRAM INSPECTION CHECKLIST ` FIRN' Bakersfield, CA 93301
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Tel.: (661) 326 -3979
SECTION 1: Hazardous Materials Business Plan Fax: (661) 852 -2171
Ins ion
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
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COMMENT
ADDRESS
PHONE NO.
NO OF EMPLOYEES
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APPROPRIATE PERMIT ON HAND (BMC:15.65.080)
FACILITY CONTACT
USINESS ID NUMBER
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
Consent to Inspect Name/Title
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VROUTINE 171 COMBINED Y ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
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C V = o iance _ OPERATION
CERS
V =Violation; 1,11 Minor
Violation
COMMENT
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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)
+a
PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
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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)
101`0005
A.NY HAZARDOUS WASTE ON SITE? ❑ YES ENO
Sigm tureofReceipt
Explain:
Inspector; .. 1
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 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 FD2155 (Rev 81/14)