HomeMy WebLinkAboutES INSP CHECKLIST 3/4/2002THOMAS F. ARMSTRONG, D.D.S.
Cosmetic and Family Dentistry
· Preventive & Restorative Care
~ :__~ · Cosmetic Dentistry
~ · Implants
1%-¢ ~) 'Or'thgd?"tics
Street
'--~ ~ ~ Bakersfield, CA 93301
~ ' 661'631~5580
CITY OF BAKERSFIELD FIRE DEPARTMENT
OFFICE OF ENVIRONMENTAL SERVICES
UNIFIED PROG~M INSPECTION CHECKLIST
1715 Chester Ave., 3~" Floor, Bakersfield, CA 93301 ~0~
FACILITY NAME ~~ r ~5~ DOS ~SPECTION DATE ~ {~
ADD'SS %~ ~ TM sT PHONE NO. 63 (
FACILITY CONTACT P~ ~ BUSINESS ID NO. 15-210-
~SPECT1ON TIME NUMBER OF EMPLOYEES
Section 1: Business Plan and lnvento~ Program
~ Routine' ~ Combined ~ Joint Agency ~ Multi-Agency ~ Complaint ~ Re-inspection
OPERATION C V COMMENTS
Appropriate pe~it on hand
Business plan contact info~ation accurate
Visible address
Co~ect occupancy
Verification ofinvento~ materials ~~ ~e~.
Verification of quantities ~ ~C ~L~C
Verification of location I~5 t O~' ~- ~
Proper segregation of material'
Verification of MSDS availability
Verification of Haz Mat training
Verification of abatement supplies and procedures
Emergency procedures adequate
Containers properly labeled
Housekeeping
Fire Protection
Site Diagram Adequate & On Hand
C=Compliance V=Violation
Any hazardous waste on site?: ~]_Yes [~ No .~ ~-~ .
Questions regarding this inspection? Please call us at (661) 326-3979 Business Site Responsible Party
.,d White- Env. Svcs,Yellow- Station Copy Pink- Business Copy Inspector: ~ r,'~r~_~
~ CITY OF BAKERSFIELD FIRE DEPARTMENT
· OFFICE OF ENVIRONMENTAL SERVICES
UNIFIED PROGRAM INSPECTION CHECKIAST _/~
1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301
FACILITY NAME T~A~ ~ /~n$~,~ O0S INSPECTION DATE ~/4/O 2- _
ADDRESS.' .~..toc.~ ~ m s~' PHONENO. 43¢
FACILITY CONTACT pprr~ ~ BUSINESS ID NO. 1'5-210-
INSPECTION TIME NUMBER OF EMPLOYEES
Section 1: Business Plan and Inventory Program 3~O/! ..:.
~l Routine .~] Combined [~] Joint Agency [~ Multi-Agency ~ Complaint {~1 Re-insPection
OPERATION C V COMMENTS
Appropriate perm!t on hand
Business plan contact information accurate
Visible address
Correct occupancy · .~,.
Verification of inventory materials ,~._ /,~j~'0~ ~' t
"- . /
Verification of quantities ~ '2..- '~L., I~A--g~C
Verification of location. ~ ~ 5 ~ 0~' ~"~g~
Proper segregation of material
Verification of MSDS availability ' ',
Verification of Haz Mat training
Verification of abatement supplies and procedures
Emergency procedures adequate
Containers properly labeled ,'
Housekeeping
Fire Protection
Site Diagram Adequate & On Hand
C=Compliance V=Violation
Any hazardous waste on site?: ~{~.Yes ~ No = ,. ~
Questions regarding this inspection? Please call us at (661) 326-3.97~9, ~, Busines~s Site Responsible Party
. ~.~{" ,~? White- Env. Svcs, Yellow.- Station Copy Pink- Business Copy Inspector:
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