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BAKER8FIELD FIRE DEFT.
Prevention Services
N s R s P t E_ i. 1) 2 101 H Street
UNIFIED PROGRAM INSPECTION CHECKLIST FIRE Bakersfield, CA93301
AItTMENT14 Tel.: (661) 326-3979
SECTION 1: Hazardous Materials Business Plan � Fax: (661) 852-2171
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FACILITY NAME
INSPECTION DATE
INSPECTION TIME
ADDRESS
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HONE NO.
4NO OF EMPLOYEES
FACILITY CONTACT
BUSINESS ID NUMBER
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Lu
I C; 77 o9
Consent to Inspect Name/Title
Section 1: Business Plan and Inventory Program
❑ ROUTINE ❑ COMBINED ❑ JOINTAGENCY ❑ MULTI -AGENCY ❑ COMPLAINT ❑ RE -INSPECTION
C V = ompiance OPERATION
V=Violation; I, I I Minor
APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
CERS
Violation
3010001
COMMENT
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
1010008
CORRECT OCCUPANCY (CBC: 401)
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
1010004
VERIFICATION OF QUANTITIES (CCR: 2729.4)
1010006
VERIFICATION OF LOCATION (CCR: 2729.2)
PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b))
VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
1020002
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
1010010
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5)
3030007
HOUSEKEEPING (CFC: 304.1)
FIRE PROTECTION (CFC: 903 & 906)
3030032
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
1010005
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO
SignatureofRecei t
Explain:
Inspector:
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)
White — Business Copy Yellow — Station Copy Pink — Prevention Services
Date
FD2155 (Rev 8H14)