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BAKERSFIELD FIRE DEPT.
Prevention $ervices
FAT �-�2101HStreet
UNIFIED PROGRAM INSPECTION CHECKLIST �` '��' �;9 Bakersfield,cA93301
' FAQ Tel.: (661) 326 -3979
SECTION 1: Hazardous Materials Business Plan
Fax: (661) 852 -2171
Ins ion
INSPECTION DATE INSPECTION TIME
FACILITY NAME ifs -�w
PHONE NO. NO OF EMPLOYEES
ADDRESS ,'"
BUSINESS ID NUMBER
FACILITY CONTACT
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Consent to, Inspect Name/Title
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E! ROUTINE COMBINED F-1 JOINTAGENCY 1-1 MULTI- AGENCY El COMPLAINT ❑ RE- INSPECf .§Tv�w� a. - :Iµ r O�yf r � '
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ance CERS C V A Violation COMMENT
V= Violation; I'll, Minor #
APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) 3010001
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) 101000$
VISIBLE ADDRESS ( CFC: 505.1, BMC:15.52.0120)
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
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) 1010010
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5) 3030007
HOUSEKEEPING (CFC: 304.1)
(CFC: 903 & 906) FIRE PROTECTION 3030032
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) 1010005
®°YES 0 N Signature ofRecei t
:
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ANY HAZARDOUS WASTE "
ON SIT
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Explain:
Inspector:
POST INSPECTION INSTRUCTIONS:
Correct the violation(s) noted above by ;
nh orrected as noted)
violations, sin and return a copy of this page to: Signature (that all violatio
Within 5 days of correcting all of the
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
Date
White - Business Copy Yellow — Station Copy Pink Prevention Services FD2155 (Rev 81H14)