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BAKER$FIELD FIRE DEPT.
trevention Services
UNIFIED PROGRAM .INSPECTION jCHECKLIST
2101 H Street
Bakersfield, CA 93301
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Tel: (661.j�3263979•
SECTION 1: Hazardous Materials Business Plan
.-. Fax. .(661) 852-2171
Inspection
FACILITY NAME
,j GC�
IN SPE TION D TE
INSPECTION• TIME
:ADDRESS`. r.
PHONE`NO.
NO'.OF EMPLOYEES
`
FACILITY CONTACT
BUSINESS.ID.
Consent tq Inspect Name/Title
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•' ROUTINE ❑' ,COMBINED ❑ JOINT AGENCY ❑. � MULTkAGENCY �❑ ,C,OMPI A�INT : ' '' ` ❑ RE- INSPECTION '
C V= omp lance: 0, P E R:AT I O N
C E R,S`
V= Violation; I,II Minor
Violation
: ''COMMENT
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APPROPRIATE PERMIT ON HAND C. 1 5,65.086)r
3010001
°CERS INFO'RMATION:ENTERED'& UPDATED ANNUALLY, (CCR: 2729:1)
. '3210043
VISIBLE ADDRESS (CFC:.505.1, ,BMC: 1:5 52.020)
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3 ..
!�° 2
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CORRECT OCCUPANCY (CBC: 401)
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VERIFICATION OF INVENTORY MATERIALS , ' ' � (CC R: 2729:3)
10:10004,;,_
VERIFICATION OF QUANTITIES (CCR: 2729.4)
1010006
VERIFICATION•OF LOCATION, -:2729 (CCR2)
PROPER�SEGREGATION OF MATERIAL ,' (CFC: 2704.1).
VERIFICATION OF SIDS AVAILABILITY (CC R: 2729:2(3)(b))
B t`
VERIFICATION OF HAZ MAT TRAINING (CCR, 2732)
..1020002
VERIFICATION OFABATEMENT,SUPPLIES &PROCEDURES (CCR: 2731(c))
EMERGENCY. PROCEDURES ADEQUATE (CCR: 2731)
„-
1010010
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CF.C: 2703:5) .
3030007
HOUSEKEEPING (C 1)
; FC:304.
FIRE PROTECTION (CFC :'903 &`906)
3030032 '
.SITE DIAGRAM ADEQUATE-& ON HAND (CCR 2729:2
1010005
G$
. C:
NY, H.AZARDOUS.;
WASTE ON SITE; ❑'YE$; - . NO
i ' ' t, f`Recei
t
Explain::
Inspectoir• ,f :•e' „
POST INSPECTION INSTRUCTIONS „
• Correct
the, violation(s) noted above by
• : Within 5 days of'correcting all of the violations, sign. and refurn`a copy of his page t0:
Si ature {that all violations have been corrected as noted )-
' ventionSrvce,:0Stee Caona Bakersfid Fiie De P t.,, Pre H 93.301
,
'Date
White — Business Copy . Yellow — .Station Copy Pink = Prevention .Services FD 2.155 (Rev 9/2017),