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SECTION 1: Business Plan and Inventory Program '''~''
IBAKERSFIELD FIRE DEPT
Prevention Services
900 Truxtun Ave., Suite 210
Bakersfield, CA 93301
Tel.: (661) 326-3979
Fax: (661) 872-2171
FACILITY NAME I~ ^ INSPECTION DA/TES INSPECTION TIME
ADDRESS
~~~6~ ~ HONE NO.
~1~~.~~~~-~ O OF EMPLOYEES
FACILITY CONTACT
~. USINESS ID NUMBER
15-021- ~~ ~ 7
Section 1: Business Plan and Inventory Program
,$I ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION
C V (c=compliance O P E R ATI O N
v-violation
COMMENTS
~1 ^ APPROPRIATE PERMIT ON HAND
~i ^ BUSIfIASS PLAN CONTACT INFORMATION ACCURATE
^ VISIBLE ADDRESS
® ^ CORRECT OCCUPANCY
'C~7 ^ VERIFICATION OF INVENTORY MATERIALS
~l ^ VERIFICATION OF QUANTITIES
~1 ^ VERIFICATION OF LOCATION
~7 ^ PROPER SEGREGATION OF MATERIAL
I~1 ^ VERIFICATION OF MSDS AVAILABILITY
iEil ^ VERIFICATION OF HAZ MAT TRAINING
^ VERIFICATION OF ABATEMENT SUPPLIES AND
P OCEDURES
^ EMERGENCY PROCEDURES ADEQUATE
J6J ^ CONTAINERS PROPERLY LABELED
^ HOUSEKEEPING
C~ ^ FIRE PROTECTION
^ SITE DIAGRAM ADEQUATE 8 ON HAND
ANY HAZARDOUS WASTE ON SITE?
EXPLAIN:
^ YES C~NO
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979
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Inspector (Please Print) Fire Prevention / t°' In /Shift of Site/Station It
White -Prevention Services Yellow -Station Copy Pink -Business Copy FD2049 (Rev. 02/05)