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4y~~- ~'r~ CITY. OF BAKERSFIEI,D FIRE DEPARTMENT
~ ~ OFFICE OF ENVIRONMENTAL SERVICES
~ ~ UNIFIED PROGRAM INSPECTION CHECKLIST
`k.E, 1715 Chester Ave., 3rd Floor, Bakersfield. CA 93301
FACILITY NAME ~ r1 ~` ~ INSPECTION DATE ~4'3/ U3
ADDRESS ~ PHONE NO. ~~7 "~~a. ~
FACILITY CONTACT~('A-nJ ~t -z~' BUSINESS ID NO.__ 15-210- ~~1
INSPECTION TIME_ ~~Tn;,r.J NCIMBER OF EMPLOYEES~___
Section 1: 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 infot~r-ation accurate
Visible address
Correct occupancy
Verification of inventory materials
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
1
Fire Protection ~- ~D Cpl
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
Whirr • Env. Svcs. Yellow • Station Copy Pink -business Copy
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sines Site Responsible Party
Inspector: