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' DANIELAS FLOWER SHOP
~~ 208 CHESTER AVENUE
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UNIFIED PROGRAM INSPECTLON CHECKLIST
SECTION 1: Business Plan and Inventory Program
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~~ Prevention Services
R F R s e ,_ , „ 900 Truxtun Ave., Suite 210
Fine Bakersfield, CA 93301
ARTM r Tel.: (661) 326-3979.
2171
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FACILITY NAME INSPECTION DATE INSPECTION TIME
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ADDRESS ~f]~( -
/v ~ ~~~ PHONE NO. NO OF EMPLOYEES
FACILITY CONTACT BUSINESS ID NUMBER
15-021- ~, ~Q
Section 1: Business Plan and Inventory Program ~i5
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^ ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION
C V (C=Compliance OPERATION
V=Violation COMMENTS
^ ^ APPROPRIATE PERMIT ON HAND
^ ^ BUSIII@SS PLAN CONTACT INFORMATION ACCURATE
^ ^ VISIBLE ADDRESS
^ ^ CORRECT OCCUPANCY
^ ^ VERIFICATION OF INVENTORY MATERIALS
^ ^ VERIFICATION OF QUANTITIES
^ ^ VERIFICATION OF LOCATION
^ ^ PROPER SEGREGATION OF MATERIAL
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^ ^ 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? ^ YES ^ NO
EXPLAIN:
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QU 10 ~~E~G~ARDING THI I PLEASE CALL US AT (661) 326-3979
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Inspector (Please Print) Fire Prevention / is` In /Shift of Site/Station # - Business Site /Responsible Party (Please Print)
White -Prevention Services Yellow -Station Copy Pink -Business Copy - - FD 2155 (Rev. 09/05
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akersfield Fire Dept.
UNIFIED PROGRAM INSPECTION CHECKLIST Enironinental Services
,~ _ ~ . , 1.715 Chester Ave
SECTION 1 Business Plan and Inventory Program ~ Bakersfield, CA 93301
Tel: (661)326-3979
FACILITY NAME INSPECTION DATE INSPECTION TIME
ADDRESS PHONE No. No. of Employees
?JDg-- ~G-~-~rc, __-,~'`--- ---- ---------------------- ---- ----- 326 _o~"t ~ -- -- --------- -
FACILITYCONTACT Business ID Number
15-021- ~-t,v
Section 1: Business Plan and Inventory Program
^ Routine ^ Combined ^ Joint Agency ^Mu1ti-Agency ^ Complaint ^ Re-inspection
C ~ nce~ OF~ER~-TION
ti
on
\V=Voa
^ ^ 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 AVAILABILITYE
^ ^ VERIFICATION OF HAT MAT TRAINING
^ ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
^ ^ EMERGENCY PROCEDURES ADEQUATE
^ ^ CONTAINERS PROPERLY LABELED
^ ^ HOUSEKEEPING
COMMENTS
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FIRE PROTECTION -- - ----- r- _..---- ----------------
~Zt~~E t /JrjrJlrtC. ZA - lO urG p~~ ~o~.UxSL~I>`
^ ^ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE: ^ YES rJ31 N0
EXPLAIN:
QUESTIONS ~REGA)RDING THIS INSPECTIONS PLEASE CALL US AT ~CC)'I ~ 3Z6-3979
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Inspector (Please Print) Fire Prevention 1st-In/Shift of Site usin ss i e Responsible Party lease Print)
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White -Environmental Services Yellow -Station Copy Pink -Business Copy