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BAKERSFIELD FIRE DEPT.
Prevention Services
21.01 H Street
UNIFIED, INSPECTION CHECKLIST
PINK
Bakersfield, CA:93301'�
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
1: Hazardous Materials Business Plan
SECTION I
Inspection'
INSPECTION DATE INSPECTION TIME
FACILITY NAME
ADDRESS�.r r PHONE NO. NO OF EMPLOYEES j
_ BUSINESS ID NUMBER
IT A/,T
onsent to Inspect. Name/Title
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OMPLAINT ❑ RE- INSPECTION
O'�ROUTINE
❑COMBINED ❑JOINT AGENCY ❑MULTI - AGENCY ❑C
C 7Viomri pance O PERATION GERS Violation COMMENT olaon; I,li Minor #
;off BMC:15.65.080) 3010001
APPROPRIATE PERMIT ON HAND
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BUSINESS PLAN CONTACT INFORMATION ACCURATE. (CCR: 2729.1) 1010008
y VISIBLE ADDRESS (CFC: 505.1, BMC:15.52.020)
V, CORRECT OCCUPANCY (CBC:401) :
f'
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: 27292(3)(b))
VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) 1020002
VERIFICATION OF ABATEMENT SUPPLIES& PROCEDURES (CCR: 2731(c))
I;
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) 1010010
tt CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5) 3030007
;HOUSEKEEPING (CFC: 304.1)
FIRE PROTECTION (CFC: 903 & 906) 3030032
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) 1010005
- i nature of Recei
NY HAZARDOUS WASTE ON SITE? ❑YES C'�"NO
Explain:
Inspector. 'k+ 0
.
POST INSPECTION INSTRUCTIONS:W
• 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 Signature (that all violations have been corrected as noted)
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 933,01, Date
White — Business Copy Station Copy,
Pink — Prevention Services FD2155 (Rev 8/114)'
Yellow — Sta