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CITY OF BAKERSFIEI.D FIRE DEPARTMENT
b OFFICE OF ENVIRONMENTAL SERVICES
.y UNIFIED PROGRAM INSPECTION CHECKLIST
~w ~~~,~~~ 1715 Chester Ave., 3'd F loor, Bakersfield, CA 93301
FACILITY NAME ~pP>rtu~@. IM 6,c~t 9
ADDRESS ci0~ 26'"~
FACILITY CONTACT Frarc~sco Caw~o~l ~~~
INSPECTION TIME / U ~ ~ ~~
INSPECTION DATE__ 3- O I- O Z
PHONE NO. '~2_S -9 `~' T
BUSINESS [D NO. 15-210- 11 q ~S
NUMBER OF EMPLOYEES I
Section 1: 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
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
Fire Protection
Site Diagram Adequate & On Hand
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C=Compliance V=Violation
Any hazardous ~'~'aste on site?: ^ Yes [~No
Explain: l.J~`3t o O I'
Questions regarding this inspection? Please call us at (661) 326-3979
White -Env. Svcs. Yellow -Station Copy Pink -Business Copy
tness Site Responsible Party
itspector: ~~~