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BAKERSFIELD FIRE DEPT.
UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1 Hazardous Materials Business Plan
Inspection
ft-6- even ion WA VA we
n 2101:H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979 ,
Fax: (661) 852 -2171
FACILITY NAME ;' INSPECTION DATE
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INSPECTION TIME
V =Violation; 1,u Minor
11
N' COMMENT
ADDRESS PHONE N0 NO OF EMPLOYEES
APPROPRIATE PERMIT ON HAND (BMC:15.65.080)
FACILITY CONTACT $ USINESS'ID NUMBER
Consent to Inspect Name/Title
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ROUTINE COMBINED JOINTAGENCY W MULTI - AGENCY COMPLAINT RE- INSPECTION .
C= Comp OPERATIONCy CERS
V =Violation; 1,u Minor Violation N' COMMENT
APPROPRIATE PERMIT ON HAND (BMC:15.65.080) 3010001
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) 1010008
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
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)
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PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
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VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b))
VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) 1020002
s VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) 1010010
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5) 3030007 A v
HOUSEKEEPING (CFC: 304.1)
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FIRE PROTECTION (CFC: 903 & 906) 3030032
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2' 1010005
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HAZARDOUS WASTE ON SITE? 1''`YES NO Signature of. Recei t z_
xplain:
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: Signature (that all'violaiions have been corrected as noted)
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
Date
White Business Copy Yellow — Station Copy Pink — Prevention Services FD2155 (Rev 8//14)