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BAKERSFIELD FIRE DEPT.
Prevention Services
IED' PROGRA`M1NSPECTION CHECKLIST
2101 H, Street
Bake s
r f e1d, CA;93301 '
SECTION '1: Hazardous Materials Business Plan .: t Tel • „ (661) 326 -'979
Inspection + Fax: (661) 852- 2171 '
FACILITY NAME INSP TION ATE' INSPECTION TIME
ADDRESS ",�,, �" ,� _ °„
»" ,rx. PHONE NO. NO OF EMPLOYEES
t Wb,1L'IT1? OO'�NTACT BUSINE
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JOINT AGENCY c
❑ . MULTI- AGENCY ;❑ COMPLAINT ❑ RE- INSPECTION
ROUTINE, ❑ =;COMBINED ❑ k
C V C= Compliance Q P E R -'-�'U N
A, C' RS'.
V= Violation; III Minor
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COMMENT, .
APPROPRIATE PERMIT ON,HAND (BMC; 9'5.65.080) 3010001
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CERS INFORMATION ENTERED;& UPDATED ANNUALLY a (CC R "2729.1) 3210043
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) ^" '
E
CORRECT OCCUPANCY
(CBC 40
VERIFICATION OF INVENTORY MATERIALS s!
,.
(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 C
(FC: 2704.1)
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VERIFICATION OF SDS AVAILABILITY (CCR 2729.2(3)(b))
r - .
VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)- 1020002 °<
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
EMERGENCY PROCEDURES ADEQUATE
.(CCR "�27�1) .,
1010010
CONTAINERS PROPERLY LABELED
(CCR: 66262.34 CF
C` 2703:5) . 3030007
`HOUSEKEEPING
,
(CFC :304.1)
'.FIRE PROTECTION A x; (CFC � 903 & 906) 3030032
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729:2) 1010005
NY HAZARDOUS WASTE ON SITE? ❑YES ❑ NO;' ,. Si'natureofRecei t"
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Explain: ,.rg
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InTector:�_
POST IN INSTRUCTIONS:
• Correct the. violation(s) noted above by
f" • 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`- 9330E
.Date
White :.Business Copy Yellow — Station Copy Pink = Prevention Services FD2155 (Rev 9/2017)