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UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1 Business .Plan and Inventory Program
Bakersfield Fire Dept.
Environmental Services
900 Truxtun Ave., Suite 210
Bakersfield, CA 9330~EC
Tel: i,661) 326-3979 _ _ _ ,_ S ?Cdr
FACILrfY NAME 1 S ~-. ~narca. ~ vn vn~ c cv ~ w~ . ~mc
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ADDRESS ~, PHONE No. No. of Employees
FACILITYCONTACT tlusiness ID Number 1
15-021- %_ • l
Section 1: Business Plan and Inventory Program
O Routine O Combined O Joint Agency OMulti-Agency O Complaint O Re-inspection
ANY HAZARDOUS WASTE ON SITE7: ^ YES ^ NO
ExPLAIN:
QUESTIONS REGARDING THIS INSPECTIONS PLEASE CALL US AT ~F>G') ~ 326-3979
Inspector (Please Print) Fire Prevention tsNNShiR of Site Business Site Responsible Party (Please Print)
VYhite • Envvonmental Services Velk~w -Station Capy Pink • easiness Copy- .
t.n pf~P ~ CITY OF BAKERSF[EI.D FIRE DEPARTMENT J `L~' ~oo~
.~ OFFICE OF ENVIRONMENTAL SERVICES N4
s UNIFIED PROGRAM INSPECTION CHECKLIST
w,~ "a~,;id 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301
FACILITY NAME ZI'~F~~~~ }r b G-~ ~~~
ADDRESS l6Z / ~ ~ f r s r.
FACILITY CONTACT ~'ann~~e (-c.,,g l ey
INSPECTION TIME i ,}~~ ° ~~O
INSPECTION DATE__ f /- ~ ~- ~ ~ _
PHONE NO. z - f{K7
BUSINESS ID NO. 15-210- <-~_) `%
Nt1MBER OF EMPLOYEES Z,~
Section l: Business Plan and Inventory Program
`~ Routine ^ Combined ^ Joint Agency
^ Multi-Agency ^ Complaint ^ Re-inspection
OPERATION C V COMMENTS
Appropriate permit on hand
Business plan contact information accurate
Visible address ~..
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Correct occupancy ~a.'~c~t~yt-.t~.2_.. ~ /r~ ~ y i
Verification of inventory materials
Verification of quantities
Verification of location
Proper segregation of material
Verification of MSDS availability
Verification of Naz Mat training „
Verification of abatement supplies and procedures
Emergency procedures adequate
Containers properly labeled ~,r
Housekeeping 1~
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
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(.Pink -Business Copy
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