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UNIFIEQ PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and .Inventory. Program
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BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield,-CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME
CP-L- _8k-L
INSP CTION DATE INSPECTION TIME
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ADDRESS PHONE NO. NO OF EMPLOYEES
0
FACILITY CONTACT BUSINESS ID NUMBER
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Consent to Inspect Name/Title .
Section 1: Business Plan and Inventory Program
ROUTINE 'COMBINED JOINT AGENCY MULTI - AGENCY COMPLAINT RE- INSPECTION
C V C= Compliance OPERATION
V= Violation
COMMENTS
APPROPRIATE PERMIT ON HAND BMC: 15.65.080)
Cali Business PLAN CONTACT INFORMATION ACCURATE CCR: 2729.1) G S
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
CORRECT OCCUPANCY CBC: 401)
VERIFICATION OF INVENTORY MATERIALS CCR: 2729.3)
El VERIFICATION OF QUANTITIES CCR: 2729.4)
VERIFICATION OF LOCATION CCR:;2729.2)
PROPER SEGREGATION OF MATERIAL CFC: 2704.1)
VERIFICATION OF MSDS AVAILABILITY CCR: 2729.2(3)(b))
i VERIFICATION OF HAZ MAT TRAINING CCR: 2732)
Ckti VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES. (CCR: 2731(c))
k EMERGENCY PROCEDURES ADEQUATE CCR: 2731)
1E6 CONTAINERS PROPERLY LABELED (CCR: 66262.34(1), CFC: 2703.5)
CT4 HOUSEKEEPING CFC: 304.1)
FIRE PROTECTION CFC: 903 & 906)
Sa:, SITE DIAGRAM ADEQUATE & ON HAND CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE? YES
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NO Signatore eel,
Explain:
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POST INSPECTION INSTRUCTIONS:
Correct the violation(s) noted above by
Within 5 days of correcting all ofthe violations, sign and return a copy of this page to:
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
White —Business Copy Yellow — Business Copy to be Sent in after return to Compliance
Signatur (tha all vi ations ha a been corrected as noted)
Date
Pink — Prevention Services'Copy FD2155 (Rev 6//10)
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