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�. BAKERSFIELD FIRE DEPT.
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�.. Prevention Services
z, R s 'F 't n .2101 H Street
UNIFIED PROGRAM INSPECTION CHECKLIST ' Bakersfield, CA 93301
Tel.:
(661)326 -3979
Fax:
SECTION 1: Hazardous Materials Business Plan
(661) 852 -2171
Inspection
FACILITY NAME
C V= omp lance : OPERATION
V =Vi6laton;1,11 Minor
C E R S
Violation
- -
INSPECTION DATE
—INSPECTION TIME,
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ADDRESS
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
1010008
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-
PHONE NO.
NO OF EMPLOYEES
FACILITY CONTACT
VISIBLE ADDRESS (CFC: 505.1, BMC:15.52.020)
BUSINESS IUD UMBER
CORRECT OCCUPANCY (CBC: 401)
Y
Consent to Inspect Name/Title
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
1010004
t
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1010006
FIRE PROTECTION (CFC: 903 & 906) 3030032
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SITE DIAGRAM ADEQUATE & ON HAND (CCR: 27292) 1010005
ANY HAZARDOUS WASTE ON SITE? ❑ YES 111' NO Signature ofRecei t �
Explain:
NOW
Inspector .'"
POST INSPECTION INSTRUCTIONS:
• 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 93301
Date
White - Business Copy Yellow - Station Copy '" Pink - Prevention Services FD2155 (Rev 8H14) ¢'`
C V= omp lance : OPERATION
V =Vi6laton;1,11 Minor
C E R S
Violation
COMMENT
APPROPRIATE PERMIT ON HAND (BMC:15.65.080)
3010001
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
1010008
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7
VISIBLE ADDRESS (CFC: 505.1, BMC:15.52.020)
CORRECT OCCUPANCY (CBC: 401)
Y
'
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
1010004
t
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
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CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5)
3030007
HOUSEKEEPING (CFC: 304 11
FIRE PROTECTION (CFC: 903 & 906) 3030032
w.
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 27292) 1010005
ANY HAZARDOUS WASTE ON SITE? ❑ YES 111' NO Signature ofRecei t �
Explain:
NOW
Inspector .'"
POST INSPECTION INSTRUCTIONS:
• 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 93301
Date
White - Business Copy Yellow - Station Copy '" Pink - Prevention Services FD2155 (Rev 8H14) ¢'`