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UNIFIED PROGRAM INSPECTION CHECKLIST.. FIRE
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SECTION 1: 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
INS,
:
INSPECTION TIME__
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PHONE NO.
NO OF EMPLOYEES
ADDRESS
Or, on Ave
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FACILITY CONTACT
BUSINESS ID NUMBER
&VA �. G
f' Z I. OOS4 iCA
Consent to Inspect Name /Title
❑ ❑
Section 1: Business Plan and Inventory Program
❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V
C= Compliance OPERATION
COMMENTS
V= Violation
❑ ❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
❑ ❑
Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
❑ '* ❑
VISIBLE ADDRESS
(CFC: 505.1, BMC: 15.52.020)
❑ ❑
CORRECT OCCUPANCY
(CBC: 401)
❑ ❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
❑ ❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
❑ ❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
❑ ❑
PROPER SEGREGATION OF MATERIAL
(CFC: 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)
❑ ❑
CONTAINERS PROPERLY LABELED
(CCR: 66262.34(f), CFC: 2703.5)
❑ ❑
HOUSEKEEPING
(CFC: 304.1)
❑ ❑
FIRE PROTECTION
(CFC: 903 & 906)
El ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
Signature of Receipt '
ANY HAZARDOUS WASTE ON SITE?
El YES El NO p` 1 f
Explain:
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:
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
Signature (that all violations have been corrected as noted)
Date
White —Business Copy Yellow — Business Copy to be Sent in after return to Compliance Pink — Prevention Services Copy FD2155 (Rev 6 / /10)