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BAKERSFIELD FIRE DEPT.
1. Prevention Services
UNIFIED PROGRAM': INSPECTION CHECKLIST ; -. ;{ 2101 H Street
Bakersfield' CA 93301
SECTION 1:' Hakardous Materials Business Plan Tel.: (6611) 326 -3979
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Inspection t Fax: (661) 852 -2171
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FACILITY NAME y t } INSPECTION DATE
1
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`RL .ROUTINE ❑ COMBINED ❑ JOINTAGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V. C =Compliance - CPP E RATI O N
`INSPECTION
TIME'
V= Violation; 111 Minor
Violation
COMMENT
ADDRESS
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PHONE NO.
NO OF EMPLOYEES
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APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
3010001
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FACILITY CONTACT
CERS INFORMATION ENTERED & UPDATED ANNUALLY (CCR: 2729.1):
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BUSINESS ID NUMBER
_11 ., , I.a
Consent to Inspect Name /Title
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`RL .ROUTINE ❑ COMBINED ❑ JOINTAGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V. C =Compliance - CPP E RATI O N
C E RS
V= Violation; 111 Minor
Violation
COMMENT
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APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
3010001
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CERS INFORMATION 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
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VERIFICATION OF QUANTITIES (CCR: 2729.4)
1010006
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VERIFICATION OF LOCATION ' �. 1,(CCR: 2729.2)
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PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
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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(1), CFC; 2703.5 )
3030007
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HOUSEKEEPING (CFC: 304.1)
Nit . 1p"�l
FIRE PROTECTION (CFC: 903 & 906)
3030032
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SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2
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1010005
ANY HAZARDOUS WASTE ON SITE? FI YES D NO
Si nature ofReceipt
Explain:
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' Inspector: jr_ V � 4 t "
POST INSPECTION INSTRUCTIONS:
• 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: Signq t°ure #at ali violations have been corrected as noted)
Bakersfield Fire Dept., Prevention Services 2101 H Street, California 93301
Date
White - Business Copy Yellow — Station Copy Pink - Prevention Services FD2155 (Rev 9/2017)