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$AKERSFIELD FIRE DEPT.
Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST
', 2101 H Street
n, Bakersfield, CA 93301
SECTION 1: Hazardous Materials Business Plan -
h ' Tel '061) 326 -3979
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Inspection
Fax: ,.;(661) 852 -2171.
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FACILITY NAME
INSPECTI N: ATE
INSPECTION TIME
PHONE NO.
NO.OF EMPLOYEES
ADDRESS
'
BUSINESS ID NUMBER
FACILITY CONTACT
Consent to Inspect Name /Title
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ROUTINE ❑ COMBINED ❑ JOINT AGENCY [:3 MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C v. C =Compliance OPERATION
C E RS
COMMENT
V= Violation; 1,11 Minor
Violation
APPROPRIATE PERMIT ON HAND {BMC: 15.65.080)
3010001.
CERS INFORMATI'ON,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
"
VERIFICATION OF QUANTITIES; ( CCR: 2729:4)
1010006
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CCR: 2729.2
VERIFICATION OF LOCATION ( )
PROPER SEGREGATION OF MATERIAL (CFC 2704.1)
VERIFICATION OF SDS AVAILABILITY (CCR:'2729.2(3)(b))
VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
1020002
a
VERIFICATION OF,ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731'(c))
EMERGE NCY.PROCEDURES ADEQUATE (CCR: 2731)
1010010
CONTAINERS PROPERLY LABELED (CCR: 66262.34(fl, CFC: 2703.5)
3030007
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HOUSEKEEPING (CFC: 304.1)
FIRE PROTECTION ( CFC: 903 & 906)
3030032
M
s
SITE DIAGRAM ADEQUATE & ON HAND_ CCR: 2729.2)
, 1010005
"
.,.
ANY HAZARDOUS. WASTE ON SITE? ❑ YES 0, NO
Signature of Recei t X
`
Explain::
Inspector: <,
POST INSPECTION INSTRUCTIONSs
• Correct the violation(§) noted above by
all the sign and'return. a copy of this page to:'
Signature (that all violations have been corrected as noted)
Within 5 days of correcting of violations,
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
Date
PY FD2155' Rev 9/2017 -
White— Business Copy Yellow -= Station Co Pink — Prevention Services ( )