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BAKERSFIELD FIRE DEPT.
..;.:. Prevention Services
UNIFIED PROGRAM, INSPECTION CHECKLIST tx , 2101 H Street
Bakersfield CA 93301
SECTION 1: Hazardous Materials Business Plan ` Tel.: (661)3126-397.9
Inspection
Fax: (661) 852 =2171
FACILITY NAME py INSPECTION DATE INSPECTION TIME'
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3010001
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ADDRESS
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PHONE NO.', �
NO OF EMPLOYEES
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VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) `•
FACILITY CONTACT �_
BUSINESS ID NUMBER
CORRECT OCCUPANCY (CBC: 401) M�
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VERIFICATION OF IN MATERIALS (CCR: 2729.3) 1010004;, .
Consent to Inspect Name /Title
CCR -( ;2729.4) `' ..
VERIFICATION -OF QUANTITIES ( 1016006 1
C V C =Compliance : OPERATION
V= Violation; 1,11 Minor
APPROPRIATE PERMIT ON HAND (BMC: 15:65.080)
C E RS
Violation
COMMENT'
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) M�
VERIFICATION OF IN MATERIALS (CCR: 2729.3) 1010004;, .
CCR -( ;2729.4) `' ..
VERIFICATION -OF QUANTITIES ( 1016006 1
CCR: 2729.2) j
VERIFICATION OF LOCATION , ;' , ( �°' +�
PROPER SEGREGATION OF MATERIAL "' (CFC: 2704.1)
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VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b)) ,.
VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) 1020002 �}
VERIFICATION OF,ABATEMENT SUPPLIES.& PROCEDURES (CCR:2731(c))"
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) 1010010 yt
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CONTAINERS PROPERLY LABELED (CCR: 66262,34(1), CFC: 2703.5) 3030007 t
HOUSEKEEPING (CFC 304.1)
( CFC:.903 & 906)
FIRE PROTECTION 3030032
CCR: 2729.2)
SITE DIAGRAM ADEQUATE & ON HAND ( 101.0005
ANY HAZARDOUS WASTE ON; SITE? ❑ YES 0 NO Si nature of Re cei t
Explain:
a
Inspector•.
POST INSPECTION INSTRUCTIONS:
• Correct the violations noted' above b ..
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sign and return a copy of this page to: Signature', hat ail violations have been corrected as noted)
of all the r
Within 5 days correcting of violations,
Bakersfield Fire, Dept.,' Prevention Services; 2101 H Street, California 93301
Date s
FD2155 Rev 9 /2017
White = Business Copy Yellow — Station Copy Pink — Prevention Services )