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BAKERSFIELD FIRE DEPT.
Prevention Services,
UNIFIED PROGRAM INSPECTION CHECKLIST �;; 2101 H Street,
Bakersfield, CA 93301
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SECTION 1: Hazardous MaterialsBusiness Plan -
Tel.• (661) 326 3979
Inspection
Fax: (661) 852 - 21.71
FACILITY NAME' INSPECTION DATE INSPECTION TIME
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1 %i �U p V y
ADDRESS .
PHONE NO NO OF EMPLOYEES
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FACILITY CONTACT BUSINESS ID NUMBER.
Consent to Inspect Name /Title
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�6;� ❑ RE- INSPECTION
,ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT
C V C= Compliance CERS
OPERATION
Y= Violation; 1,11 Minor Violation COMMENT
APPROPRIATE PERMIT ON HAND (BMC:15.65.080)` 3010001
CERS °INFORMATION ENTERED &UPDATED ANNUALLY (CCR: 2729.1) 3210043
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
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
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EMERGENCY PROCEDURES ADEQUATE (CCR: 273.1) 1010010
CONTAINERS PROPERLY LABELED (CCR: 66262.34(17, CFC: 2703.5) 3030007
HOUSEKEEPING (CFC: 304.1)
FIRE PROTECTION (CFC: 903 & 906) 3030032
SITE, DIAGRAM ADEQUATE & ONHAND (CCR: 2729.2) 1010005 `
sign ature of Recei t
NY HAZARDOUS WASTE ON; SITE? El YES NO
Explain:
Inspector: - r z r t
POST INSPECTION INSTRUCTIONSc
• 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 .
FD2155 - (Rev 9/2017
White — Business Copy- Yellow — Station Copy Pink — Prevention Services )