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BAKERSFIELD FIRE DEPT.
Prevention Services
E R s F t n 2101 H Street
PROGRAM INSPECTION CHECKLIST PH -rx Bakersfield, CA 93301
UNIFIED ANA it
Tel.: (661) 326 -3979
SECTION 1: Hazardous Materials Business Plan Fax (661) 852 -2171
Ins ion
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
ADDRESS p
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PHO,oNE NO. NO OF EMPLOYEES
FACILITY CONTACT _
BUSINESS ID. NUMBER
,, . 16
Consent to Inspect Name/Title
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E ROUTINE ❑ COMBINED ❑ JOINTAGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
omp lance
C V OPERATION
V= Violation; 1,11 Minor
C E R S
violation
COMMENT
APPROPRIATE PERMIT ON HAND (BMC:15.65.080)
3010001
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
1010008
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
'
y
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
p
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 Signature ofRecei t
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Explain: g,:c� tai cR1t�..i� ��-f l`'
Inspector: ... -...
POST INSPECTION INSTRUdTIONSc
0 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: ignature (that all violations have teen corrected as noted)
Bakersfield Fire Dept., Prevention Services, 2101 H Street'California 93301
Date
White - Business Copy Yellow — Station Copy 'Pink Preven4grn Services FD2155 (Rev 8H14)
BUILDING ADDRESS:
JOB DESCRIPTION;—,
CUPANCY TYPE. --
OWNER .— —' fir` %.5%?
PERMIT
CONTRACTOR:. /' ' s t�Z.Pitl6.�v'. _PHONE.J.