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UNIFIED PROGRAM INSPECTION CHECKLIST
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
V =violation;;I,II Minor
ADDRESS
COMMENT
PHONE NO.
NO OF EMPLOYEES
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FACILITY CONTACT
BUSINESS ID NUMBER
APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
3010001
-
onsentto Inspect Name/Title s
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BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
omp Lance
C V = OPERATION
CERS
V =violation;;I,II Minor
Violation
COMMENT
APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
3010001
-
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w
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
1010008
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VISIBLE ADDRESS (CFO: 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)
VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b))
VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
1020002
I.
VERIFICATION OF ABATEMENT SUPPLIES &PROCEDURES (CCR: 2731(c))
.;
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
_
1010010:
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CONTAINERS'' PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5)
3030007
HOUSEKEEPING (CFC:304:1)
..
FIRE PROTECTION - (CFC:.903 & 906 )
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3030032'
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SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
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1010005
ANY HAZARDOUS WASTE ON SITE'? p YES- ❑ NO
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Explain: i>'
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Inspector. : t't
'... .POST INSPECTION INSTRUCTIONS:
• Correct the violation(s) noted above by ,
e 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
White - Business Copy Yellow - Station Copy "' "�Pu1k - Preventi±ink Services . FD2155 (Rev 8H14)