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BAKERSFIELD FIRE DEPT.
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Prevention Services
UNIFIED .PROGRAM INSPECTION..,'CHECKLIST' ,j. 2101 H Street'
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Bakersfield, CA 93301 ,
S E,CTIO N 1: Hazardous Materials Business Plan :.. Tel.: (6611)326 -3979
Inspection: Fax: (661) 852-2171
FACILITY NAME
C E RS'
Violation
INSPECTION DATE
INSPECTION TIME
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3010001
ADDRESS, '
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PHONE NO.'_
NO OF EMPLOYEES
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VISIBLE ADDRESS. (CFC: 505.1, BMC: 15.52.020)
FACILITY CONTACT
BUSINESS ID NUMBER
CORRECT OCCUPANCY (CBC: 401)
consent to fispect Name /Title
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
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" ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V C= Compliance OPERATION -
v= Violation; 1,11 Minor
C E RS'
Violation
COMMENT
APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
3010001
x
CER$ INFORMATION ENTERED &UPDATED ANNUALLY (CCR: 2729.1)
3210043
t
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)
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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(fl, CFC:. 2703.5)
3030007
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HOUSEKEEPING (CFC'304.1)
FIRE PROTECTION (CFC: 903 & 906)
3030032
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
1010005
ANY HAZARDOUS WASTE ON SITE? ❑ YES NO
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Explain:
Inspector:
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POST INSPECTION INSTRUCTIONSc . ;
• Correct theviolation(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. 93,301
Date
White = Business Copy Yellow - Station Copy Pink.- Prevention Services FD2155 (Rev 9/2017)