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INSPECTION DATE IN SPECTION TIME
FACILITY NAME
- — -- — PHONE NO. fi0 OF EMPLOYEES
ADDRESS
BUSINESS ID NUMBER
FACILITY CONTACT _
onsent to Inspect Name7i0e
Section 1: Business Plan and Inventory Program
BAKERSFIELD FIRE DEPT.
Prevention Services
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2101 H Street
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UNIFIED PROGRAM INSPECTION CHECKLIST
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2G93301
3979
SECTION 1: Hazardous Materials Business Plan
Fac (661)852-2171
Inspection
CERS INFORMATION ENTERED& UPDATED ANNUALLY (OCR: 2729.1)
INSPECTION DATE IN SPECTION TIME
FACILITY NAME
- — -- — PHONE NO. fi0 OF EMPLOYEES
ADDRESS
BUSINESS ID NUMBER
FACILITY CONTACT _
onsent to Inspect Name7i0e
Section 1: Business Plan and Inventory Program
❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTIAGENCY ❑ COMPlA1NT ❑ RE-INSPECTK)N
C V nip... OPERATION
V=Viwialbn; 1,11 Minor
y ERS
COMMENT
APPROPRIATE PERMIT ON HAND (BMC: 1585.080)
3010001
CERS INFORMATION ENTERED& UPDATED ANNUALLY (OCR: 2729.1)
KTXAG
VISIBLEADDRESS (CFC: 605.1, BMC: 15 52-020)
CORRECTOCCUPANCY (CBC: 4(1)
VERIFICATION OF INVENTORY MATERIALS (CCR:272B.3)
1010004
VERIFICATION OF QUANTITIES (OCR:2926A)
1010006
VERIFICATION OF LOCATION (CCR: 27262)
PROPER SEGREGATION OF MATERIAL (CFC:2704A)
VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(0))
VERIFICATION OF PAZ MAT TRAINING (CCB: 2732)
1020002
N OF ABATEMENT SUPPLIESIt PROCEDURES (CCR:2731(c))
Y PROCEDURES ADEQUATE (CCR:2nI)
10IM10
S PROPERLY LABELED (CCR: 66262.34(0. CFC: 2703.5)
3030007
=�BE�D
PING (CFC: 304.1)
CTION (CFC: 909&906)AM
ADEQUATE & ON HAND (CCR: 2723.2)
1010005NV
HAZAflSTE ON SITE? ❑VES NO
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Inapecror:
POST INSPECTION INSTRUCTIONS:
• Correa the viwlmiwnfsl owed abave by
• Within 5 days of cora ing all of the violations, sign and refen a copy of this Me to:
Bakersfield Fire Drpt., Prevention Services. 2101 H Street, Calif and. 93301
White - Business Copy Yellow -Seamon Copy Pink- Prevention Smircx
Signets (the au violatians have been Corteaed M rated)
Date
M2135 (Rev 912019)