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BAKERSFIELD FIRE DEPT.
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Preirention , Services
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UNIFIED PROGRAM, INSPECTION CHECKLIST
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Tel.: (661) 326 -3979
SECTION 1: Hazardous Materials Business Plan Fax, (661) 852 -2171
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FACILITY NAME INSPECTION DATE INSPECTION TIME IME
ADDRESS PHONE NO. NO OF EMPLOYEE�
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FACILITY CONTACT BUSINESS ID NUMBER
Consent to InspectName/Title '
fill
s S � 117-111 OMPLAINT RE- INSPECTION
C V ompiance OPERATION CERS:
V= Violation; 1,11 Minor Violation COMMENT
APPROPRIATE PERMIT ON HAND (BMC:15.65.080) 3010001
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) 1010008
VISIBLEADDRESS (CFO: 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(f), CFC: 2703.5) 3030007
HOUSEKEEPING (CFC: 304.1)
FIRE PROTECTION (CFC: 903 & 906) 3030032
SITE DIAGRAM ADEQUATE ON HAND (CCR: 2729.2) 1010005
itueofRecei❑ YES ❑ NONY HAZARDOUS WASTE ON SITE?
Explain:
Inspector:
POST INSPEOINSTRUCTIONS:
ation(s)noted above by ' Correct the viol
ROUTINE El COMBINED ❑JOINT AGEN MULTI - AGENCY ❑C >3U ,
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• 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 804)