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^ BAKERSFIELD FIRE DEPT.
Prevent* Services
UNIFIED PROGRAM' INSPECTION CHECKLIST : " 2101'H Str6et
Bakersfield,tA 93301
SECTION 1 Hazardous Materials Business P lan Tel.: (66t) 326 -3979'
Inspecti o n Fax: (661) 852- 2,171
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FACILITY NAME
INSPECTION DATE
INSPECTION TIME
ADDRESS
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PHONE NO. , U?
NO OF EMPLOYEES
FACILITY CONTACT
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BUSINESS ID NUMBER
Consent to Inspect Name /Title
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1.;ROUTINE ❑ :COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE INSPECTION
C- Compliance '
C _V - OPERATION CERS
. _ >. V= Violation; 1,11 Minor Violation C.OMM'ENT
APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
3010001
CERSANFORMATION 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) 1.010006
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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) 102b002 ,.
►� VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) 1010010
CONTAINERS PROPERLY LABELED (CCR: 66262.34(1), CFC: 2703.5) 3030007
.• HOUSEKEEPING (CFC: 304.1)
FIREPROTECTION (CFC: 903 & 906), CF?`l �u Via;;
3030032" "" "
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) 1010005 0 :N"
ANY HAZARDOUS WASTE ON SITE? OYES NO Si nature ofRecei t
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Explain:
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In
POST INSPEDCTI4N INSTRUCTIONS: t
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,
Prevention Services FD2155 {Rev 9/2017)
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