HomeMy WebLinkAboutBUSINESS PLAN (2)v
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J ` " " Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST ~~ B E_R S_F 1 _ D 900 Truxtun Ave., Suite 210
®~ ---w w-~ FiRE Bakersfield, CA 93301
~~ ARTM T Tel.: (661) 326-3979
SECTION 1: Business Plan and Inventory Program ~
Fax: (661) 872-2171
FACILITY NAME _ INSPECTION DATE INSPECTION TIME
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ADDRESS PHONE NO. NO OF EMPLOYEES
S t `~ 3 ~- ~T 3 ~'7 t ~
FACILITY CONTACT BUSINESS ID NUMBER
15-021-Opt 3 cf
~ ~~ Section 1. Business QI~n a+~d Inventory Programs
ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION
C V ( C=Compliance OPERATION
V=Violation COMMENTS
^ APPROPRIATE PERMIT ON HAND
^ BUSIneSS PLAN CONTACT INFORMATION ACCURATE
^ VISIBLE ADDRESS
^ CORRECT OCCUPANCY ENTr[~ A ~' ~ ~. ~ ~ _
^ 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
ANY HAZARDOUS WASTE ON SITE?
EXPLAIN:
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979
Inspector (Please Print) Fire Prev ntion / 1s' In /Shift of Site/Station #
^ YES p~
White -Prevention Services Yellow -Station Copy Pink -Business Copy = FD 2155 (Rev: 09/05
Bakersfield Fire Dept.
- GRAM INSPECTION CFIECKLIST Enironmental Services
UNI~IE® PRO...,:., ~ ~ ,_ _~ 1715 Chester Ave
SECTION 1 Business Plan and Inventory Program Bakersfield, CA 93301
- Tel: (661)326-3979
FACILITY NAME
ADDRESS
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TONE No. No. of Employees
~.~~ - ~ ts~ `_1------
isiness ID Number
15-021- oo ~ ~4 t
- `Section 1: Business Plan and Inventory Program
C>~2outine ^ Combined ^ Joint Agency ^hulti-Agency ^ Complaint ^ Re-inspection
~C/ V \V=Vioationncel OPERATION COMMENTS
[$ ^ APPROPRIATE JPERMIT ON HAND
~^ EMERGENCY PROCEDURES ADEQUATE
^ L~ CONTAINERS PROPERLY LABELED
-_ __ _ --- --- --- - } ~a`ie.~ ~~ iPSe.-~ -Cam 1~,~ r.~e..!'-----
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LI ^ HOUSEKEEPING
C3 ^ FIRE PROTECTION ~
~^ SITE DIAGRAM ADEQUATE & ON HAND
LJ ^ BUSINESS PLAN CONTACT INFORMATION ACCURATE
r ^ VISIBLE ADDRESS
Il~I ^ CORRECT OCCUPANCY
^ VERIFICATION OF INVENTORY MATERIALS
^ VERIFICATION OF QUANTITIES
^ VERIFICATION OF LOCATION
^ PROPER SEGREGATION OF MATERIAL
~/ _---- - ----------- - -- ------------__ --- --------- _- ---- _...--- ---- ENT`'D MAY 1 1 2006
® ^ VERIFICATION OF MSDS AVAILABILITYE
~^ VERIFICATION OF HAT MAT TRAINING
^ ^ VERIFICATION OF ABATEMENT SUPPLIES ANO PROCEDURES
ANY HAZARDOUS WASTE ON SITE: LJ YES ^ NO
EXPLAIN:
1 ~
QUESTIONS REGARDING THIS INSPECTIONS PLEASE CALL US AT (661) 326-3979
-i-~------ ---- - - ---- --
Inspector (Please Print) Fire Prevention 1st-InlShift of Site
White -Environmental Services Yellow -Station Copy
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eu~ ess Slfe Responsible Party (Please Print)
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Pink -Business Copy ~
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/~~~4y4 ~~' CITY OF BAKF.RSFIELD FIRE DEPARTMENT ~~.~~`•~~ i '
Q< ~ OFFICE OF ENVIRUNMF,NTAL SERVICES
~' -y UNIFIED PROGRAM INSPF.,CTION CHECKLIST ~~ ~••.
'"w ~~ti,,~ 1715 Chester Ave., 3`" I~ loor, Bakersfield, CA 93301
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FACILITY NAME (' ~ ,-~5 6 ~ ~ t._a,~:~' ~~ INSPECTION DATE C.y "'~g -~C13 _
AllDRESS S ~ ~ Z,'~-~. S~__ PHONE NO. 7--
FACILITY CONT CT_,,~~L~~f-~ BUSINESS lD NO. 15- ZI `- ~ d "
INSPECTION TIME /~ ,~,y~r N[_1MBER OF EMPLOYEES_~___ __
Section 1:
Routine
Business Plan and Inventory Program
^ Joint Agency ^Minti-Agency ^ Complaint
^ Re-inspection
OPERATION C 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
i
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
Business
~~~
tinsible Party
Whirr - Fnv. Svcs. Yellow • Station Copy Pink - Hustness Copy Inspector: