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BAKERSFIELD FIRE 'DEPT.
Prevention Services
2101 H Street
UNIFIED PROGRAM INSPECTION CHECKLIST
Bakersfield, CA 93301
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Tel.: (661;) 326 =3979
SECTION 1 Hazardous Materials Business Plan
Fax: (661) 852 -2171
Ins coon .€
FACILITY NAME'
INSPECTION DATE INSPECTION TIME
t° PHONE NO. NO OF EMPLOYEES
ADDRESS
BUSINESS ID NUMBER
FACILITY CONTACT
Consent to Inspect Name/Title
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............ �..rr�.kw. K ROUTINE ❑ COMBINED ❑ �JOINTAGENCY ❑MULTI - AGENCY ❑COMPLAINT ❑ RE- INSPECTION
omp iance C E R S
C V ,. OPER/4TION Violation COMMENT'
V =Violation; I,IFMinor
APPROPRIATE, PERMIT ON HAND (BMC:15.65.080)- 3010001
'BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) 1010008
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
VERIFICATION OF LOCATION (CCR: 2729:2)
PROPER SEGREGATION OF MATERIAL (CFO: 2704.1)
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VERIFICATION OF -SDS AVAILABILITY (CCR: 2729.2(3)(b))
.: VERIFICATION OF HAZ MAT. TRAINING
(CCR: 2732) 1020002
VERIFICATION ` CATION 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)
FIRE PROTECTION (CFC: 903 & 906) 3030032
SITE DIAGRAM ADEQUATE &,ON HAND (CCR: 2729.2) 1010005
ANY HAZARDOUS WASTE ON SITE? I YES ❑ NO Signature OfRecei t
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` Explai.n s
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inspector
POST INSPECTION INSTRUCTIONS:
• Correct "the violations) 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 93301
Date
White —Business 'Copy" Yellow — Station Copy Pink — Prevention Services FD2155 (Rev 804)
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