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l1NIFIE® PROOI2~M INSPECTION CHECKLIST
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SECTION 1 Business Plan and Inventory Program
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Bakersfield Fire Dept.
Environmental Services
900 Truxtun Ave., Suite 210
Bakersfield, CA 93301
TPl • f fifi 11 ~2fi-979
FACILITY NAME INSPECTION DATE INSPECTION TIME
ADDRESS ~i/• _------ --------- _.._..._--
~. ~ a ~~ `( "t ~ I ~ ~~O ~ PHONE No. No. of Employees
FACILITYCONTACT Business ID Number
15-021- e~3t{-i
Section 1: Business Plan and Inventory Program
Routine O Combined ^ Joint Agency DMulti-Agency ^ Complaint ^ Re-inspection
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C V OPERATION
n~
ti COMMENTS
on
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^ ^ APPROPRIATE PERMIT ON HAND
^ ^ BUSINESS PLAN CONTACT INFORMATION ACCURATE
^ ^ VISIBLE ADDRESS
^ ^ CORRECT OCCUPANCY
^ ^ ~ VERIFICATION OF INVENTORY MATERIALS
^ ^ VERIFICATION OF QUANTITIES
^ ^ .VERIFICATION OF LOCATION
^ ^ PROPER SEGREGATION OF MATERIAL i
... _f
ANY HAZARDOUS WASTE ON SITE: OYES ^ NO
EXPLAIN:
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QUESTIONS REGARDING THIS INSPECTIONS PLEASE CALL US AT (661 ~ 326-3979
Inspector (Please Print) Fire Prevention 1st-InlShift of Site Business Site Responsible Party (Please Print)
B
While • Environmental Services Yellow -Station Copy Pink • Business Copy
1
~~ -~~' CITY OF BAKERSF[ELD FIRE DEPARTMENT
OFFICE OF ENVIRONMF,NTAL SERVICES
UNIFIED PROGRAA'1 INSPECTION CHECKLIST
w„' a~a~ 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 NOV 5 2fl4~
FACILITY NAME1lJ( tt)tt5~l~liy~ P~4itttTGOI~tPA~Y INSPECTION DATES/~9"-3 ~~~~
ADDRESS 9-~ If>-f` 5~ ...r~.,ny ~-'!`1S PHONE NO.____ ~6t:t~ 837.~y_b~ ' '' ~~r
FACILITY CONTACT ..~~ - *~~- BUSINESS iD NO. ..l 5-~t6= olS-d~/- DOD3Y1
INSPECTION TIME >ySD ~. NUMBER OF EMPLOYEES 3 ~
Section l: Business Plan and Inventory Program
Routine ^ Combined ^ Joint Agency ^Mu1ti-Agency ^ Complaint ^ Re-inspection
OPERATION C V COMMENTS
Appropriate permit on hand
Business plan contact information accurate
Visible address f
Correct occupancy
Verification of inventory materials ~
Verification of quantities f
Verification of location
Proper segregation of material
Verification of MSDS availability f
Verification of Haz Mat training ;f
Verification of abatement supplies and procedures
Emergency procedures adequate /
Containers property tabeled /
Housekeeping ~
Fire Protection
Site Diagram Adequate & On Hand
C=Compliance V=Violation
Any hazardous waste on site?: ^ Yes ~ No
Explain:
Questions regarding this inspection? Please call us at (661 } 326-3979
Whitt -Env. Svcs. Yellow -Station Copy Pink • Business Copy
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usine, Site Responsible Party
Inspector: `~~t'f ~dw t.~ND
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