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l9NIFIED PROGR~4fM INSPECTION CHECKLIST
SECTION 1 Eusiness Plan and Inventory Program
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FACILITY NAME
ADDRESS
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FACILITYCONTACT
Bakersfield Fire Dept.
Enironmental Services
1715 Chester Ave
Bakersfield, CA 93301
Tel: (661)326-3979
INSPECTION DATE INSPECTION TIME
I~06 ~U40
PHONE No. No. of Employees
B7I-ya-39 3
Business ID Number
15-021- CSbO ~~3
Section 1: Business Plan and Inventory Program ~~~
outine ^ Combined ^ Joint Agency ^hulti-Agency ^ Complaint ^ Re-inspection
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C V ncel OpERA-TION
ti COMMENTS
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~, " ^ APPROPRIATE PERMIT ON HAND
^ BUSINESS PLAN CONTACT INFORMATION ACCURATE iUtZ~ ~
~_ ^ VISIBLE ADDRESS
^ CORRECT OCCUPANCY
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-- - VERIFICATION OF INVENTORY MATERIALS
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^ VERIFICATION OF QUANTITIES (/U
^ VERIFICATION OF LOCATION
I~' ^ PROPER SEGREGATION OF MATERIAL
^ VERIFICATION OF MSDS AVAILABILITYE o~
~K ^ VERIFICATION OF HAT MAT TRAINING
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--
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^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
t'~ ^ EMERGENCY PROCEDURES ADEQUATE
~- ^ CONTAINERS PROPERLY LABELED
^ HOUSEKEEPING
^ FIRE PROTECTION
^ SITE DIAGRAM ADEOUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE: YES ^ NO
EXPLAIN: ~L~~n~ l~[.rs,~i,,(1~FLNT~.D '~---- Z/y ~15/~.p ~p/~1/~
• QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661 ~ 326-3979
Inspector (Please Print) Fire Prevention 1st-tnlShift of Site
White -Environmental Services Yellow -Station Copy
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Business Site Responsible Party (Please Print)
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UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1 Business Plan and Inventory Program
•
FACILITY NAME INSPE TION DATE INSPECTION TIME
N 00
ADDRESS PH E No. of Employees
FACILITYCONTACT Business ID Number
G€li~ -7t? _ g 15-021- d1b5~3
Bakersfield Fire Dept.
Enironmental Services
1715 Chester Ave
Bakersfield, CA 93301
Tel: (661)326-3979
Section 1: Business Plan and Inventory Program
~outine ^ Combined ^ Joint Agency ^Mnlti-Agency ^ Complaint ^ Re-inspection
C V (C=Compliance) OPERATION COMMENTS
`V=Violation
^ APPROPRIATE PERMIT ON HAND
^ BUSINESS PLAN CONTACT INFORMATION ACCURATE
~,^ VISIBLE ADDRESS
^ CORRECT OCCUPANCY
^ ~ VERIFICATION OF INVENTORY MATERIALS }}
- ---------------------- ------------ ---- ------------- . _....--- I ------- ----- ------- -- -- - _ _ _ ..... ......... ..._ - _-___ -------.----
^ VERIFICATION OF QUANTITIES
--------------------- ----
^ VERIFICATION OF LOCATION
^ PROPER SEGREGATION OF MATERIAL
^ VERIFICATION OF MSDS AVAILABILITYE
^ VERIFICATION OF HAT MAT TRAINING
^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
^ EMERGENCY PROCEDURES ADEQUATE
~- ^ CONTAINERS PROPERLY LABELED
^ HOUSEKEEPING
-- -------------------.._..-- -------- ----------__--- ---r-
^ FIRE PROTECTION
^ SITE DIAGRAM ADEQUATE 8c ON HAND
ANY HAZARDOUS WASTE ON SITE: e~YES ^ NO
EXPLAIN: ~ yL~Y ~AN- h~ L U-I~H~11~.At. ~ j,~IF~I DY V~~ZI ICI ~D
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT ~66~ ~ 326-3979
~~fL~~'~`±^-'D---------------------------- --------
Inspector (Please-Print) Fire Prevention 1st-InlShift of Site
White -Environmental Services Yellow -Station Copy
iness Site Responsibl Party lea a 'n )
Pink -Business Copy