HomeMy WebLinkAboutBUSINESS PLAN 4/26/2008'!:a,
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~` -'~~'" CITY OF 13AI{ERSFIELD FIRE DEPARTMENT
b~ OFFICE OF ENV1RONli'IENTAL SERVICES
"~ UNIFIED PROGRAM INSPECTION CHECKLIST
:w ~g~,d~~~ 1715 Chester Ave., 3rd I±Ioor, Bakersfield, CA 93301
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FACILITY NAME~_~~w ~ ~~"~' ~ / ~S'PECTION DATE i t', 02 0 ~
ADDRESS ,2 / r cA~! .e. PHONE NO. 7 - ~ ?
FACILITY CONTACT a A~u v BUSINESS ID NO. _ 15-210-0~
INSPECTION TIME y ~~~- ~,.~ ~ ti ~ NUMBER OF EMPLOYEES ~~
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Section 1: Business Plan and Inventory Program
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^ Combined ^ Joint Agency ^hulti-Agency ^ Complaint ^ Re-inspection
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OPERATION C V COMMENTS
Appropriate permit on hand
Business plan contact information accurate •
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Visible address + Nv
Correct occupancy
Verification of inventory materials Qx
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Verification of quantities
Verification of location
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 `~~j~
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Any hazardous waste on site?: es ^ No
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Questions regarding is inspection? Please call us at (661) 326-3979
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Bustness Stte Responsible Party
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UNIFIED PROGRAM INSPECTION CHECKLIST;;
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SECTION 1: Business Plan and Inventory Program
B E R S F I D
F/RE
ARTM T
Prevention Services
900 Truxtun Ave., Suite 210
Bakersfield, CA 93301
Tel.: (661) 326-3979
Fax: (661) 872-2171
AGILITY NAME `~ /~ INSPECTION DATE INSPECTION TIME
ADDRESS ~ PHONE NO. NO OF EMPLOYEES
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FACILITY ONTA BUSINESS ID NUM61 5
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Section 9. Qusiriess Plan-and Iltventory Program.
ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION
C V (C=Compliance OPERATION
V=Violation COMMENTS
^ APPROPRIATE PERMIT ON HAND
^ BUSIneSS PLAN CONTACT INFORMATION ACCURATE
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^ VISIBLE ADDRESS
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.KI ^ CORRECT OCCUPANCY
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^ VERIFICATION OF INVENTORY MATERIALS ' '
^ VERIFICATION OF QUANTITIES
^ VERIFICATION OF LOCATION
^ PROPER SEGREGATION OF MATERIAL
t~ ^ VERIFICATION OF MSDS AVAILABILITY {l
V
^ VERIFICATION OF HAZ MAT TRAINING
^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
L~ ^ EMERGENCY PROCEDURES ADEQUATE
^ CONTAINERS PROPERLY LABELED
^ HOUSEKEEPING
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1G ^ FIRE PROTECTION
^ SITE DIAGRAM ADEQUATE & ON HAND
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ANY HAZARDOUS WASTE ON SITE? `_ YES ^ NO
EXPLAIN: ~~~ C~~~~
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979
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Inspector (Please Print) Fire Prev ntion / 1~~ In /Shift of Site/Station # ~Lsin ss SlY~esponsible rty (Please Print)
White -Prevention Services Yellow -Station Copy Pink -Business Copy FD 2155 (Rev. 09105
UNIFIED PROGRAM INSPECTION CHECKLIST r=
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SECTION ~1: Business Plan and Inventory Program .G
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BAKERSFIELD FIRE DEPT
Prevention Services
~~~~ 9001Yuxtun Ave., Suite 210
~wr~r r Bakersfield, CA 93301
Tel.: (661) 326-3979
Fax: (661) 872-2171
FACILITY NAME
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`"l l~ NSPECTION DATE .
U' '-~~ INSPECTION TIME
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ADDRESS pp~~~~ `~ HO~ ~i ~ ~~ ~
3 O OF~¢APLOYEES
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FACILIT ONTACT
1e- 5" ~ ~~~~z~~ USINESS ID NUMBER
15-021- Z..~ ~
Section 1: Business Plan and Inventory Program
ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION
•
C V (~=Compliances OPERATION
V-Violation COMMENTS
^ APPROPRIATE PERMIT ON HAND
^ BUSIfI@SS PLAN CONTACT INFORMATION ACCURATE
^ VISIBLE ADDRESS
$ ^ CORRECT OCCUPANCY
^ VERIFICATION OF INVENTORY MATERIALS
^ VERIFICATION OF QUANTITIES
4~ ^ VERIFICATION OF LOCATION
^ PROPER SEGREGATION OF MATERIAL
~^ VERIFICATION OF MSDS AVAILABILITY
^ VERIFICATION OF HAZ MAT TRAINING
^ VERIFICATION OF ABATEMENT SUPPLIES AND
PROCEDURES
;0" ^ EMERGENCY PROCEDURES ADEQUATE
^ CONTAINERS PROPERLY LABELED
^ HOUSEKEEPING
^ FIRE PROTECTION
^ SITE DIAGRAM ADEQUATE i£ ON HAND
ANY HAZARDOUS WASTE ON SITE? ^ YES I~~fdO
EXPLAIN:
~UESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (667) 326-3978
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Inspector (Please Print) Fire Proven on / 1b` In /Shift of Site/Station ~ Busi Site/School Sfte Re ponsible Party (Please Print)
White -Prevention Services Yellow -Station Copy Pink - Buaineas Copy FD2049 (Rev. 02/05)