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U-NIFIED PROGRAM INSPECTION CHECKLIST
SECTION-A: Business Plan and Inventory Program
B _. _F_ — S.__F..... �.. (H L.__D
FIRE
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ARTM T
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street -
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME
C= Compliance OPERATION
V= Violation .
INSPECTION DATE
INSPECTION TIME
ADDRESS
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APPROPRIATE PERMIT ON HAND
PHONE NO.
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NO OF EMPLOYEES
FACILITY CONTACT
BUSIIIeSS PLAN CONTACT INFORMATION ACCURATE
BUSINESS ID NUMBER
Consent to Inspect Name /Title
Er ❑
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
Section 1: Business Plan and Inventory Programs
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C v
C= Compliance OPERATION
V= Violation .
COMMENTS
`ir ❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
I/ ❑
BUSIIIeSS PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
Er ❑
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
—/
W ❑
CORRECT OCCUPANCY
(CBC: 401)
0-'/ 11
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
❑
VERIFICATION OF QUANTITIES -
(CCR: 2729.4)
❑� ❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
El/❑
PROPER SEGREGATION OF MATERIAL
(CFC: 2704.1)
E ❑
VERIFICATION OF MSDS AVAILABILITY
(CCR: 2729.2(3)(b))
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
❑
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
;
Q/❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
❑r/ ❑
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5)
❑y❑
HOUSEKEEPING
(CFC: 304.1)
❑
FIRE PROTECTION
(CFC: 903 & 906)
❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2)
f
ANY HAZARDOUS WASTE ON SITE? ❑YES ❑
NO
Signature ofReceipt.
Explain:
/
POST INSPEC'FlON INS' RUCTIONS:
• 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'
While — Business Copy Yellow — Business Copy to be Sent in after return to Compliance Pink — Prevention Services Copy FD2155 (Rev 6010)