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BAKERSFIELD FIRE DEPT.
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UNIFIED, P ROG R mention Services
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AM INSPECTION CHECKLIST. .' 2101 H Street;
Bakersfield, CA 93301
SECTION 1: Hazardous Materials Business Plan Tel.: (661) 326 -3979
Inspection = .. Fax: (661) 852 -2171
FAQILIT NAM P E SPECTION TIME
INS ECTION AT
ADDRESS ,,, w �` - '"� PHON NO.; NO OF EMPLO ES .
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FACILITY CONTACT w "" "`" ^ -" BUSINESS ID NUMBER
)6'71,00
Consent to Inspect Name/Title
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❑ ROUTINE NCOMBINED ` ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT
❑ RE- INSPECTION
C C= Compliance
V OPERATION GERS
v =Violation, I,II Mmor q� , �� .u.�,n.,,,rK ,..y, Violation Ci�MMENT
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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)
k CORRECT OCCUPANCY (CBC: 401) i
VERIFICATION OF INVENTORY. MATERIALS (CCR: 2729.3
�►,. � ) 1010004
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VERIFICATION OF QUANTITIES (CCR: 2729.4
) 1010006
` 'VERIFICATION OF LOCATION (CCR: 2729.2)
PROPER SEGREGATION OF MATERIAL (CFC: 2704.1) i
VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b)) ;
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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(17, CFC: 2703.5) 3030007 ;
HOUSEKEEPING (CFC: 304.1)
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FIRE PROTECTION .re (CFC: 903 & 906)
3030032 k' `
SITE DIAGRAM ADEQUATE & ON HAND CCR: 2729.2
( ) 1010005
ANY HAZARDOUS; WASTE ON SITE? ,YES ❑ NO Si nature ofRecei t
Explain: lg
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Inspector: F T p+
POST INSPECTIO S UCT � S:
• Correct the violation(s) noted above by
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• Within 5 days of correcting all of the violations, sign and return a copy of this page to: Signature (tbaall va�l t ons l4Ug� ,b�e,„� ;W eat d�as�rzot�d)
Bakersfield Fire Dept., Prevention Services, 210TH Street, California 93301 !
Date ; Copy � �,� R',•. y •,
White Business Co Yellow — Station Copy Pink = Prevention Services FD2155 (Rev 9/2017)
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