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UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
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BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (6611 3 2 6 -39 79
Fax: (661) 852 -2171
FACILITY NAME &A _'"� _(y
INSPE "ITION AT
INSPECTION TIME
ADDRESS
PHUNI, NO.
NO OF EMPLOYEES
FACILITY CONTACT
BUSINESS ID NUMBER
Consent to
Inspect Name /Title
Section 1 Business Plan and Inventory Program
C�ROUTINE ❑ COMBINED ❑ JOINTAGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
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( c= Compliance OPERATION
= Violation
COMMENTS
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APPRO PRIATE PERMIT ON HAND (BMQ 15.65.1111 -)
❑
❑
Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
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❑
❑
VISIBLEADDRESS (CFC: 505.1, BMC: 15.52.020)
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❑'
❑
CORRECT OCCUPANCY (CBC: 401)
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❑'
,❑
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
❑`
❑
VERIFICATION OF QUANTITIES (CCR: 2729.4)
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❑`
❑
VERIFICATION OF LOCATION (CCR: 2729.2)
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❑
PROPER SEGREGATION OF MATERIAL (CFO: 2704.1)
❑
❑
VERIFICATION OF MSDS AVAILABILITY (CCR: 2729.2(3)(b))
❑`
❑
VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
❑!
❑
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
❑,
❑
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
❑Y
❑
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5)
❑
i
❑
HOUSEKEEPING (CFC: 304.1)
❑
❑
FIRE PROTECTION (CFC: 903 & 906)
❑ -'
❑
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE? ❑YES ❑ NO
Signature of Receipt
Explain:
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POSTINSPECTION INSPRUCIIUNS:
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 Street, California 93301
Signature (that all violations have been couected as noted)
While — Business Copy Yellow— Business Copy to be Sent in after return to Compliance Pink — Prevention Services Copy FD2I55(Rev 6/A 0)