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BAKERSFIELD FIRE DEPT.
Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST 2101 H Street
# Bakersfield, CA 93301
SECTION 1: Hazardous Materials Business Plan Tel.: (661)-,326-3979
Inspection _ = Fax: (661).8
.�, 52 -2171
FACILITY NAME .
INSPEC. ION TE INSPECTION TIME
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ADDRESS' PHONE'10. `. NO.OF EMPLOYEES
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FACILITY CONTACT - " '�` BUSINESS ID NUMBER
Consent to Inspect_ Nari;Le/,rTitle
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❑ ROUTINE COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY El, COMPLAINT ❑ RE- INSPECTION
C v C= Compliance OPERATION - C E RS
V= Violation; 1,11 Minor Violation COMMENT
APPROPRIATE PERMIT ON HAND. (BMC 15.65.080) 3010001
C,ERS INFORMATION ENTERED & UPDATED ANNUALLY (CCR: 2729.1) 3210043
IxVISIBLE ADDRESS (CFC: 505.1,,BMC: 15.52.020)
CORRECT. OCCUPANCY (CBC:401)
VERIFICATION OF-INVENTORY MATERIALS (CCR: 2729.3) 1010004
1 VERIFICATION OF QUANTITIES (CCR: 2729.4) 1010006 .
VERIFICATION OF LOCATION, (CCR: 2729.2)
PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
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VERIFICATION OF S,,D,S 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' -
R.
CONTAINERS PROPERLY LABELED (CCR: 66262.34(1), CFC: 2703.5) 3030007:
HOUSEKEEPING (CFC 304.1)
FIRE PROTECTION (CFC: 903 & 906)
3030032
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SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) 1010005
VN- g''HAZARD0US WASTE ON SITE? ❑ YES &N Si atureofRecei t ”
Explain: msµ.
Via.
Inspector: l�
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�.r
White - Business Copy Yellow — Station Copy Pink = Prevention Services FD2155 ;(Rev 9 /2017)