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BAKERSFIELD FIRE DEPT.
jr• Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST r : 2101 H Street
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Bakersfield, CA 93301
SECTION 1: Hazardous Materials Business Plan Tel.: (661) 326 -3979
Inspection
Fax: (661) 852 -2171
FACILITY NAME INSPECTION DATE, INSPECTION TIME
ADDRESS
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PHONE NO.. � NO OF EMPLOYEES
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FACILITY CONTACT BUSINESS ID NUMBER,
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Consent to Inspect,Name /,Tale
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Ventor, .,.. ,,, N_.
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.:ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI-AGENCY ❑ COMPLAINT. ❑ RE- INSPECTION
C- Compliance C E RS
C �/ - OPERATFON Violation COMMENT
V--Violation; 1,11 Minor
APPROPRIATE PERMIT ON HAND - (BMC: 15.65.080)
3010001;... r
CERS INFORMATION ENTERED & UPDATED ANf�UAL`LY (CCR: 2729.1) 3210043
VISIBLE ADDRESS
CFC: 505.1, B,MC: 15.52.020)° -^
CORRECT OCCUPANCY _ (CBC: 401)
:� $
VERIFICATION OF INVENTORY MATERIALS (CCR:`2729.3) 10100041 ;
f CCR; 2729.4
VERIFICATION OF QUANTITIES ( ) 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.(p })
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) 1010010
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 Cs
Si nature of Receipt '' t
ANY HAZARDOUS WASTE ON SITE? ❑ YES '. 11 NO _
Y
Explain:
Inspector:
POST INSPECTIO INSTRUCTIONS:. _ r
• Correct the vi tion(s) noted above by `� have been corrected as noted)
e Within 5 days of correcting all of the violations, sign and return a copy of this page to: Signatue (ghat all violations,
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301° -rt' °"
Date's
N , FD2155 Rev 9/2017
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