HomeMy WebLinkAbout1701 pacheco bp 1-2-131�SFIELD FIRE DEFT
Prevention Services
UNIFIED `PROGRAM INSPECT 'I N C H E C K L I ST t JA FISH -900 Truxtun Ave., Suite 210
RrM r ' Bakersfield, CA 93301
SECTION 1: Business Flan and Inventory Program Tel.: (661) 326 -3979 j
Fax: (661) $72 -2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
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1,9 1
ADDRESS
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HONE NO. NO OF EMPLOYEES
GfRI'%' �f � ` ° � "
FACILITY CONTACT x
BUSINESS ID NUMBER
15 -021- rn,?12'�
C= Compliance
C V ( ) OPERATION
V= Violation
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13usiness Plan and InventO
Section 1: ;ry Program,
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❑ ROUTINE COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C= Compliance
C V ( ) OPERATION
V= Violation
COMMENTS
❑; APPROPRIATE PERMIT ON HAND
❑ Business PLAN CONTACT INFORMATION ACCURATE
❑ VISIBLE ADDRESS
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❑ CORRECT OCCUPANCY
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❑ VERIFICATION OF INVENTORY MATERIALS
❑ VERIFICATION OF QUANTITIES
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❑ VERIFICATION OF LOCATION
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❑ PROPER SEGREGATION OF MATERIAL
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❑ VERIFICATION OF MSDS AVAILABILITY
❑ VERIFICATION OF HAZ MAT TRAINING
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❑ ❑ VERIFICATION OF ABATEMENT SUPPLIES AND
PROCEDURES
❑ EMERGENCY PROCEDURES ADEQUATE
0., CONTAINERS PROPERLY LABELED
14, 1 G
❑ HOUSEKEEPING
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❑ FIRE PROTECTION
❑ SITE DIAGRAM ADEQUATE & ON HAND
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ANY HAZARDOUS WASTE "ON SITE? ❑YES VONO
EXPLAIN: {
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QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT, (661) 326 -3979'
Inspector (Please Print) Fire Prevention f 1" In [Shift of Site /Station # Business SifelSCff6ol Site,Responsible Party (Please Print)
White — Prevention Services Yellow - Station Copy Pink- Business Copy FD2049 (Rev. 02/05)