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BAKERSFIELD FIRE DEPT.
;., Prevention Services
UNIFIED PROGRAM INSPECTION
CHECKLIST 2101 H Street
Bakersfield, CA 93301
SE C,TI O N 1: Hazardous Materials Business Plan �. d�, Tel.: (661) 326 -3979
Fax: 661
Insp 852 -2171 ection ( )
FACILITY NAME'
INSPECTION DATE
INSPECTION TIME:
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ADDRESeS .k„ µ„
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PHONE NO
NO OF EMPLOYEES
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FACILITY CONTACT
BUSINESS ID NUMBER
Consent to Inspect Name /Title
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,ROUTINE ❑ COMBINED ❑ JOINTAGENCY ❑ MULTI - AGENCY ❑. 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
'
CERS INFORMATION ENTERED & UPDATED ANNUALLY (CCR: 2729.1) 3210043
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
CORRECT OCCUPANCY (CBC: 401)
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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))
r EMERGENCY PROCEDURES ADEQUATE (CCR: 2731
.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 & ON HAND (CCR: 2729.2) 1010005
NY HAZARDOUS WASTE ON SITE? V'YES ❑ NO ISienature of Receipt
Explain:
�. .£
Inspector: � �. �"� „` ►. �.���. :£
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 Fite Dept.; Prevention Services, 2101 H Street, California, 93301
Date
White Business Copy Yellow - Station Copy Pink Prevention Services FD21 °55 (Rev 9/2017)
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