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UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
A
B I E R S P I E L D
FIRE
D ARYN , T
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BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
COMMENTS
❑/❑
APPROPRIATE PERMIT ON HAND
ADDRESS
PHONE NO.
NO OF EM LOYEES
FACILITY CONTACT
BUSINESS ID NUMBER
0/10
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
0,"/0
Consent to Inspect Name /Title
t
(CBC: 401)
Section 1: Business Plan and Inventory Program
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C v
( C= Compliance OPERATION
V= Violation
COMMENTS
❑/❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
❑ ❑/"'BUSI11eSS PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
` CS
i
0/10
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
0,"/0
CORRECT OCCUPANCY
(CBC: 401)
Q/-'❑
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)
13p-"E_1
HOUSEKEEPING
(CFC: 304.1)
❑✓❑
FIRE PROTECTION
(CFC: 903 & 906)
❑V"❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE? O'Y,ES ❑
NO
Signa ureofReceipt
Explain:
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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
White - Business Copy Yellow - Business Copy to be Sent in after return to Compliance
Signature (that all�,vi5lations have been corrected as noted)
Date
Pink — Prevention Services Copy
FD2I55 (Rev 6 #10)
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