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UNIFIED PROGRAM INSPECTION CHECKLIST':'
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.SECTION 1: Business Plan and Inventory Program
B~IRERSFIELD FIRE DEPT
Prevention Services
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~It~ 900 Truxtun Ave., Suite 210
a~nr Bakersfield, CA 93301
Tel.: (661) 326-3979
Fax: (661) 872-2171
FACILITY NAME
..~ ~ ~ AJ~ F~~~'tr2 {LGPlkic~ NSPECTION DA E
l~ T ~Ss ~ INSPECTION TIME
ADDRESS HONE NO. q ~/ O OF EMPLOYEES
FACILITY CONTACT USINESS ID NUM6ER
15-021- p.~-
Section 1: Business Plan and Inventory Program ',~ b
OUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION
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V C=Compliance
( ) OPERATION
V=Violation
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COMMENTS ~,
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APPROPRIATE PERMIT ON HAND ~~ ~ t
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^ ^ BUSIn@SS PLAN CONTACT INFORMATION ACCURATE
^ ^ VISIBLE ADDRESS
^ ^ CORRECT OCCUPANCY
^ ^ VERIFICATION OF INVENTORY MATERIALS --t l p ~~~
^ ^ VERIFICATION OF QUANTITIES ZZ~ C~ Z 36 G
^ ^ VERIFICATION OF LOCATION jNS ADC $11UP (tils~ O~ ~P
^
^ ^
^ 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
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^ ^ SITE DIAGRAM ADEQUATE & ON HAND _ _
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ANY HAZARppD~~OCU/S ,WASTE ON SITE? YES ^ NO
EXPLAIN: -il ~> L.'~~' /~C~ !~ Rj~t G'~ -- -------- -------------- -
QUESTIONS REGARDING THIS INSPECTIONS PLEASE CALL US AT (881} 328-3878
Inspector (Please Print) Fire Prevention / t" In / Shift of Site/Station Y B s ss Site/School Sfte Responsible Party (Please Print)
White -Prevention Services Yellow - Station Copy Pink - Buainesa Copy FD2o49 (Rev. 02/0
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AUTO SC FENDER RePAiR
~" 500 CRLIPOFtNIR Avg.
j o ~ BAKERSPIELD, CR 9334 I ~ ~
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~ FFiRNK G6 ~ .47z.7z7Z TEL:
~LGR 661-717-6 i 63 661.634.9199