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BUSINESS PLAN 11/14/2006
UNIFIED PROGRAM INSPECTION CFIECICLIST~` ._ .. SECTION 1: Business Plan and Inventory Program J • a xart a P/Ra ~eRrr r BAKERSFIELD FIRE DEPT Prevention Services 900 Truxtun Ave., Suite 210 Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME ~ - INSPECTION DATE /y ~/ INSPE`~CTION TIME, S Q rM ~ - rt /~ u r - . ~ ~. h ADDRESS HONE NO. O OF EMPLOYEES FACILITY CONTACT ~ USINESS ID NUMBER 15-021- CJd ~p~~ F~w. 1M E Section 1: Business Plan and Inventory Program ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V ^ (c=Compliance OPERATION V=Violation _ APPROPRIATE PERMIT ON HAND ~ ~ _ COMMENTS _______ `~ ^ BUSIf1eSS PLAN CONTACT INFORMATION ACCURATE ~1 ^ / ~ VISIBLE ADDRESS ~ 1 ~N~~D ~ Ir C~ ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS 1LC.h'ti(~¢ ~ ~.t~v r T"~ ©~ L, ^ VERIFICATION OF QUANTITIES I ~ `g~~ 5 ^ VERIFICATION OF LOCATION `~ ^ L~ ^ ~ PROPER SEGREGATION OF MATERIAL VERIFICATION OF MSDS AVAILABILITY ^ ~ VERIFICATION OF HAZ MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES I ^ / ` EMERGENCY PROCEDURES ADEQUATE ~ ^ CONTAINERS PROPERLY LABELED ~ ^ HOUSEKEEPING j L~ ^ J` FIRE PROTECTION I. I ^ SITE DIAGRAM ADEQUATE 8 ON HAND ANY HAZ DOUS WASTE ON SITE? a °~^ YES `~I NO EXPLAIN: ~~~~ ~~ 1 L L~~5~rE / \ _ _ .QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 ~oer' ~~~nr~BV~~Cic Inspector (Please Print) Fi Prevention / 1" In / Shift of Site/Station # B iness Site/School Site White -Prevention Services Yellow -Station Copy Pink -Business Copy FD2049 (Rev. 02105)