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UNIFIED PROGRA,ASPECTION CHECKLIST.
SECTION 1 Business Plan and Inventory Program
Bakersfield Fire Dept.
Enironmental Services
1715 Chester Ave
Bakersfield, CA 93301
Tel: (661)326-3979
FACILITY NAME £ó;;2¿lii.1_k_j)/~/___ INSPECTION DATE INSPECTION TIME
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- ----,,---~~----_._-_._------ -=-".:.--- No, of Employees----
ADDRESS £F~~ PHONE No,
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----._--_._---~~-- ._-'--,------- --.------,'------,--
FACILlTYCONTACT ~ " Business 10 Number
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I ... ~Routin.
~ectiQn 1: BUSi~eSS Plan and Inventory Program "~+I'T~~' ~ (. ì ~4'¡!J r-!
a Combined d Joint Agency a Multi-Agency 0 Complaint 0 Re-inspection
C V
( C=Compliance )
V=Violation
OPERATION
COMMENTS
o ApPROPRIATE PERMIT ON HAND
-----
----------------- ----,--------_._--~----- ~---~.__._--"--~-_..~---_.------"'.~.__._---
o BUSINESS PLAN CONTACT INFORMATION ACCURATE
-_.__._------_._-~-..,_.._._-~_.__.-.--- --- ~_._.__._---- -------.-------.---. -----------------~-_._._.._.._....._..._-_._- ..-...._------
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VISIBLE ADDRESS
._,--_._-----_.~------------_.._". .--- --.----.----.-----.----..-----.---...-.-.-...-----.-.-.----..-..--.... -....<--.---"---,....------..-
CORRECT OCCUPANCY
-----~~~---~_.~--------------<--- ---_..~-_._-_.__._._-._._..._-------_.._._-----_...__..-----.------.-,..-.--. -...,,-.-----
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VERIFICATION OF INVENTORY MATERIALS
------- ----.-.---- --_._~---_... -----.------- ---_._----_._,.~-"--~----_._._---------_..~. . ..-- -.---'-.--'-
VERIFICATION OF QUANTITIES
---'~--------------------'-'----'-'-------"---- ------_._-----------_.._-------------_._-_._._-_.._.~-----.------..--
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VEHIFICATION OF LOCATION
--------._----------- -------------.-..-..----
-.---.-.---..---------..- -.-.--.-
PROPER SEGREGATION OF MATERIAL
-.----..----------.-.--------- .._.-_._----_.._--~----- ...._--------_._-~-_.~-_._--_.._----_.,,---_.-._._-
-jr a VERIFICATION OF MSDS AVAILABILlTYE
-------
------..-..---.----..-----.--- ---_._._._.~-~.._---_..~-_.._--_._~-~_._---------_._..----~
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o VERIFICATION OF HAT MAT TRAINING
--------_.._-_._---_.~---- --------------------_.__.--------_.__._._....,-~---,-----_._--_._-..~_._<_.-
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
________~.___.__._~_~___._.___ _·___________·__..____...__~·_________.··~___e__·_'·___._________.__
EMEHGENCY PROCEDURES ADEQUATE
_~~_·_______________.__e______.__.____.__.__ __..____,____.__.__.___.________________.__,.___..___._._..___.__~~._..__.____
-¡I 0 CONTAINERS PROPERLY LABELED I
-_._---~~-_.~~-----:--._~_.__._-_._-_._~_._-~-------,----.------------_.__._---,-----_.~._--------------_.~
__ O_~~USEKEEPIN~________ __ ____________~----_----_- __________.___________
a FIRE PROTECTION
~---~~--------~--_._---------- ~~----~------------- ~-- - ------- ---- - -------
...q 0 SITE DIAGRAM ADEQUATE & ON HAND \ ð ~
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It i'Y1tHE\ ~ta~\ ~ If) ~
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ANY HAZARDOUS WASTE ON SITE?: -.;;p YES
EXPLAIN: l~-A w) vv.Arre (;7/1
( LêWv.Ù ¡j ;<Y3 ¿r)
o No
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White· Environmental Services
Yellow . Station Copy
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QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979
~4-------------- ~JÞ. -:tI!!':Z_.
nspector ¡;¡Bd,,~ No,
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FACIIJTY NAME ~y DfAt.. A:oJro
ADDRESS tl W tE, ~TVrJ
FACILITY CONTACT_
INSPECTION TIME
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5SD ~
INSPECTION DATE ?-/"L~/ð(
PHONE NO. '3 7-2.- '2..6-z.~'
BUSINESS ID NO. 15-210- ~Gw
NUMBER OF EMPLOYEES
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CITY OF BAKERSFlEI,D FIRE DEPARTMENT
OFFICE OF ENVIRONMENTAL SERVICES
UNIFIED PROGRAM INSPECTION CHECKLIST
1715 Chester Ave., 3rd ¡<'Ioor, Bakersfield, CA 93301
Section 1:
Business Plan and Inventory Program
Z-
o Routine
~ombined
o Joint Agency
o Multi-Agency
o Complaint
ORe-inspection
OPERA nON C v COMMENTS
Appropriate permit on hand
Business plan contact information accurate '-r»t~ .
Visible address ç~(\.
Correct occupancy ,-~D1' v
Verification of inventory materials ~"rG1;-N ~-~\
Verification of quantities "24Gf a: \ 7C;- ~
Verification of location 1~"tf)(f S ~p ~
Proper st:gregation 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 V P LC--ASé GB'r ;:ZA - 10: ßc.
Site Diagram Adequate & On Hand
White - Env. Svcs.
Yellow - Station Copy
Pink - Business Copy
Business Site Responsible Pa
Inspector: W'I ;...;e-s
C=Complial!lce
V=Violation
Any hazardous waste on site?: 01 Yes 0 No
Explain: USGt> t:n '- H O' GAL. /oJ,. oF s#rJP
Questions rt:garding this inspection? Please call us at (661) 326- 3 979
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FACII,JTY NAME E/>tç"tJ Dt;:AL k.Jro
ADDRESS ft2ù fE., ~íU,.J
FACILITY CONTACT
INSPECTION TIME
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hJ/r~l i
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INSPECTION DATE 7-/"T..~ IOf
PHONE NO, 37...'2...- UL~'
BUSINESS ID NO. 15-210- ø..JG~
NUMBER OF EMPLOYEES
/D 3:> 9()
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CITY OF BAKERSFIEI.,D FIRE DEPARTMENT
OFFICE OF ENVIRONMENTAL SERVICES
UNIFIED. PROGRAM INSPECTION CHECKI..IST
1715 Chester Ave., 3rd J;'Joor, Bakersfietd:, CA 933011
Section 1:
Business Plan and Inventory Program
2-
o Routine
¡;;t.çombined
q Joint Agency
o Multi-Agency
o Complaint
ORe-inspection
" OPERATION C V COMMENTS
-,-"'"
Appropriate p(:onit on hand
, \ ¡', v.>\ -{
Business plan contact infoonation accurate
V.( p( "-
Visible address .efi(
Correct occupancy __ "__W6 \ ..-
/ '.M
Verification of inventory materials o,c'r1;;c-N AJ r ~ ,:C'-';;'\'
Verification of quantities "Z4'1 c¡.:- ( 7Ç" J=
Verification of location ,N<',',S)G S H-ðP' ~J
'.
Proper segregation of material
Verification of MSDS availability
Verification of Haz Mat training )
j
" ,
Verification of abatement supplies and procedures
"
Emergency procedures adequate
Containers propl~rly labeled
Housekeeping ,
Fire Protection I,( P u::;--Þ.sé GG-r ÂA- 10: ßc.
Site Diagram Adequate & On Hand
,~
Questionsregarding this inspection? Please call us at (661) 326-3979
Business Site Responsible Pa
C=Compliance
V=Violation
/
Any hazardous waste on site?: at. Yes 0 No
Explain: U<:'C...s.:> b 1'- 11 U' GAL 1'.), OF' "" .hIP,
White - Env. Svcs.
Yellow· Station Copy
Pink· Business Copy
Inspector: WINE .5
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