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BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
UNIFIED PROGRAM INSPECTION CHECKLIST
° p9 Bakersfield, CA 93301
Tel.: (661) 326-3979
SECTION 1: Hazardous Materials Business Plan Fax: (661) 852-2171
Inspection
FACILITY NAME INSPECTION DATE INSPECTION TIME
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ADDRESS PHONE NO. NO OF EMPLOYEES
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F C ITY CONTACT USINESS ID NUMBER
-16 dupLai
a /— 70"?
onsent to Inspect Name/Title
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1: Business Plan and Inventor Program
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❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI -AGENCY ❑ COMPLAINT ❑ RE -INSPECTION
C v C=Compliance OPERATION CER S
V=Violation; 1,11 Minor ;Violation', COMMENT
#
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APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
3010001
CERS INFORMATION ENTERED & UPDATED ANNUALLY (CCR: 2729.1)
1010008
OF
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
CORRECT OCCUPANCY (CBC: 401)
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
1010004
V
VERIFICATION OF QUANTITIES (CCR: 2729.4)
1010004
VERIFICATION OF LOCATION (CCR: 2729.2)
1010005
PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b))
VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
1020002
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR -.2731(c))
'¢
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
1010010
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f)7 CFC: 2703.5)
3030007
HOUSEKEEPING (CFC: 304.1)
FIRE PROTECTION (CFC: 903 & 906)
3030032
j%
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
1010005
Afts
;ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO Si nature of Receipt ,
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,Explain:
Inspector: 1,J
POST INSPECTION INSTRUCTIONS:
• 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: Signature (that all violations have been corrected as noted)
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
Date
`'White — Prevention Services Yellow — Station Copy Pink — Business Copy FD2155 (Rev 3/2019)