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BAKERSFIELD FIRE DEPT,
Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST 'i A _K 1, R S F I E_L D 2101 H Street
FIRE
DEPARTMENT Bakersfield, CA 93301
SECTION 1: Business Plan and Inventory Program Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME INSPECTION DATE INSPECTION TIME
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ADDRESS PHONE NO. NO OF EMPLOYEES
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" FACILITY CONTACT BUSINESS ID NUMBER
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Consent to Inspect Name /Title
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Section 1: Business Plan and Inventory Program
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C v
C= Compliance OPERATION
V= Violation
COMMENTS
SI/El
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
I ❑
Business PLAN CONTACT INFORMATION ACCURATE CCR: 2729.1
❑
VISIBLE ADDRESS
(CFC: 505.1, BMC: 15.52.020)
, ❑
CORRECT OCCUPANCY
(CBC: 401)
5/ ❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
❑
❑
VERIFICATION OF QUANTITIES
VERIFICATION OF LOCATION
(CCR: 2729.4)
(CCR: 2729.2)
❑
PROPER SEGREGATION OF MATERIAL
(CFC: 2704.1)
❑
VERIFICATION OF MSDS AVAILABILITY
(CCR: 2729.2(3)(b))
d I
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
❑
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
❑
Of
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
5/ ❑
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? pl.--Y� E
S ❑ NO
Signature ff R ei t
J'
Explain:
A'
MUST EN SFEC TIOIN 1IN STKUC A 10I NS: /J
• 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
White —Business Copy Yellow — Business Copy to be Sent in after return to Compliance
Signature (that all violations have been corrected as noted)
Date
Pink — Prevention Services Copy
FD2155 (Rev 6H10)