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UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
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FIRE
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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 f*AA0
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INSPECTION DATE
INSPECTION ,TIME
ADDRESS SZ.�
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NO OF EMPLOYEES
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FACILITY CONTACT?
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BUSINESSrID NUMBER
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Cons t t Inspect Nd e/Title
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(CFC: 505.1, BMC: 15.52.020)
Section 1: Business Plan and Inventory Program
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V
( C= Compliance OPERATION
COMMENTS
V= Violation
❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
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Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
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VISIBLE ADDRESS
(CFC: 505.1, BMC: 15.52.020)
❑
CORRECT OCCUPANCY
(CBC:401)
' ❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
❑
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VERIFICATION OF QUANTITIES
(CCR: 2729.4)
❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
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PROPER SEGREGATION OF MATERIAL
(CFC: 2704.1)
❑
VERIFICATION OF MSDS AVAILABILITY
(CCR: 2729.2(3)(b))
❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
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VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
❑
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EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
❑
CONTAINERS PROPERLY LABELED
(CCR: 66262.34(f), CFC: 2703.5)
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HOUSEKEEPING
(CFC: 304.1)(^.5
❑ \
FIRE PROTECTION
(CFC: 90 & 966(
❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2)Id
ANY HAZARDOUS WASTE ON SITE? ❑ YES
NO
J
Signature ofRecei / p
Explain:
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)
Date
White — Business Copy Yellow — Business Copy to be Sent in alter return to Compliance Pink — Prevention Services Copy FD2155 (Rev 6//10)
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