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BAKERSFIELD FIRE DEPT.
Prevention Services
UNIFIED PROGRAM B_ INSPECTION CHECKLIST _E R_ S P 1 EB.\L D FIRE 2101 H street
o ARTME, F Bakersfield, CA 93301
SECTION 1.: Business Plan and Inventory Program Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME f
INSPECTION DAT
INSPECTION TIME
ADDRESS
PHONE NO.
NO OF EMPLOYEES
FACILITY..CONTACT,
BUSINNEESSSIID 1 � L NUMBER
iJ f y. ); 016 /�' y
J 2('i
Consent to Inspect Name /Title
Section 1: Business Plan and Inventory Program
m�.,apUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C v .,,( C= Compliance OPERATION
COMMENTS
V= Violation
❑�❑ APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
❑ ❑ Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
Ele ❑ VISIBLE ADDRESS
`t
(CFC: 505.1, BMC: 15.52.020)
0"",[] ❑ CORRECT OCCUPANCY
(CBC: 401)
P,
[I-' ❑/��VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
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I
❑" ❑ VERIFICATION OF QUANTITIES
(CCR: 2729.4)
0' " ❑ VERIFICATION OF LOCATION
(CCR: 2729.2)
01Z"13 'PROPER SEGREGATION OF MATERIAL
a
(CFC: 2704.1)
011-111-0, VERIFICATION OF MSDS AVAILABILITY
(CCR: 2726.2(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).
w,❑' ❑ HOUSEKEEPING
(CFC: 304.1)
❑' ❑ ,. FIRE PROTECTION
(CFC: 903 & 906)
e ❑ SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2)
s,
ANY HAZARDOUS WASTE ON SITE? ❑ YES
❑ NO
Signature ofReceipti
Explain:
POST INSPECTION INSTRUCTIONS:
• Correct the violation(s) noted above by f
• 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 violations have been corrected as noted)
Date
Pink — Prevention Services Copy FD2155 (Rev 6H 10)