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UNIFIED PROGRAM INSPECTION CHECKLIST' a H R 8 F I p
SECTION 1
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Business Plan and Inventory Program
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME
( C= Compliance) OPERATION
V= Violation
INSPECTION DATE
INSPECTION TIME
i
Er I ROUTINE
❑
COMBINED ❑ JOINTAGENCY ❑ MULTI - AGENCY ❑ COMPLAINT
ADDRESS
RE- INSPECTION
PHONE NO.
NO OF
<
VISIBLE ADDRESS
(CFC: 505.1, BMC: 15.52.020)
/EMPLOYEES
FACILITY CONTACT
t 4-
p i { f
BUSINESS ID NUMBER
�T
1
Consent to Inspect Name /Title
❑/' ❑
C V
( C= Compliance) OPERATION
V= Violation
Section 1: Business Plan and Inventory Program
COMMENTS
❑' ❑
Er I ROUTINE
❑
COMBINED ❑ JOINTAGENCY ❑ MULTI - AGENCY ❑ COMPLAINT
❑
RE- INSPECTION
C V
( C= Compliance) OPERATION
V= Violation
COMMENTS
❑' ❑
APPROPRIATE fERMIY`bN BAND
(BMC: 1.65.080)
❑ ❑
" AWE S§ PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
/ rQ
Gas .f C.
I
Gl — ❑
VISIBLE ADDRESS
(CFC: 505.1, BMC: 15.52.020)
J J S 3
❑' D
CORRECT OCCUPANCY
(CBC: 401)
�T
❑;' ❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
❑/' ❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
❑/ ❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
❑ ,' ❑
PROPER SEGREGATION OF MATERIAL
(CCR: 2704.1)
❑;' ❑
VERIFICATION OF MSDS AVAILABILITY
(CCR: 2729.2(3)(B))
❑ j❑
VERIFICATIONOF HAZMATTRAINING
(CCR: 2732)
q, ❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR: 2731))
0, - ❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
❑. - ❑
CONTAINERS PROPERLY LABELED
(CCR: 66262.34(F), CFC 2703.5}
❑-! ❑
HOUSEKEEPING
(CFC: 304.1)
❑%' ❑
FIRE PROTECTION
(CFC: 903 & 906)
❑ ✓❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2)
ANY HAZARDOUS
WASTE ON SITE? ❑-`FES
❑ NO
Sienature of Rec -
i
Explain:
POST INSPECTION INSTRUCTIONS:
• Refer to the back of this inspection report for regulatory citations and corrective actions
• 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:
Bakersfield Fire Dept., Prevention Services, 2101 H Sheet, California 93301
Sigr wife (that all violations h +. e been corrected as noted)
Date
White — Business Copy Yellow — Business Copy to be Sent ui after elum to Compliance Pink Prevention Services Copy FD2155(Re, 12 /10