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CITY OF BAKERSFlEl.D FIRE DEPARTMENT
OFFICE OF ENVIRONMENTAL SERVICES
UNIFIED PROGRAM INSPECTION CHECKLIST
1715 Chester Ave., 3rd I~loor, Bakersfield, CA 93301
FACILITYNAMEÅrt, Dfl.l.\-vLlCS SAU-S' f SC~v~PECTION DATE 10 -O<£-Ò3
ADDRESS 9' I l) tV CD ¡\J, PHONE NO. '37- LJ - 3 / L/ :;
FACILITY CONTACT v r 0. BUSINESS ID NO. 15-210- C>~ s-""ro
INSPECTION TIME NUMBER OF EMPLOYEES 1J.
Sec~I:
r£ Routine
Business Plan and Inventory Program
o Combined
o Joint Agency
o Multi-Agency
o Complaint
ORe-inspection
OPERA TION C V COMMENTS
/' .'
App~opriate pennit on hand v
Business plan contact ¡nfonnation accurate V /'
,
Visible address V
y "
Correct occupancy
Verification of inveritory materials ""
Verification of quantities \....- ""
Verification oflocation V
Proper segregation of material V ""
Verification of MSDS availability V
Verification of Haz Mat training v'"
Verification of abatement supplies and procedures V
Emergency procedures adequate V
Containers properly labeled 'V
Housekeeping \..- ,; .J1.7';;¡, ",....---
Fire Protection \.. /' ~~
Site Diagram Adequate & On Hand v ~ é'ÁAn./ V
v
C=Compliance V=Violation
Any hazardoys waste on site?: ~ esz 0 No
EXPlain:c;\CHY/~II~) OUJQíI J Ô ( -
Questions regarding this inspection? Please call us at (661) 326-3979
White· Env. Svcs.
Yellow· Station Copy
Pink· Business Copy
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Business Site Responsible Party
Inspecto,u;j;r
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