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Home My WebLink AboutBUSINESS PLAN (2)~~ ~; CAPTAIN FROG ~ ~, ~~ 1609 SO. "H"STREET ~~~ ~. ~~ ~~ UNIFIED PROGRAM INSPECTION CHECKLIST ...n,.~ _.~..~..__-____~._ ___ ------- _-___..-- SECTiON 1 Business .Plan and inventory Program • Bakersfield Fire Dept. ' Environmental Services 900 Truxtun Ave., Suite 210 Bakersfield, CA 93301 Te_l: (661) 326-3979 FACILITY NAME - ADDRESS FACILITYCO^NTACT 1 Q IONE No. ~. of Employees X33 37 1 ainesa ID Number 15-021-ooyo ~' Section 1: Business Plan and Inventory Program routine O Combined O Joint Agency OMulti-Agency O Complaint O Re-inspection • ANY HAZARDOUS WASTE ON SITE: ^ YES ~ NO EXPLAIN: • QUESTIONS REGARDING THIS INSPECTIONS PLEASE CALL US AT ~6G'I ~ 326-3979 ..-•- In ctor Please Print) ~~~~~ Fire Prevention 1st-INShift of Site UVhBe - EnJvonmental Servioea Yelkwv -Station Copy Business Site Res naible Party (Please Print) Pink - Business Copy UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1 Business Plan and Inventory Program Bakersfield Fire Dept. Enironmental Services 1715 Chester Ave Bakersfield, CA 93301 Tel: (661)326-3979 FACILITY NAME -------- r' ------------------------- INSPECTION D TE 3 , z _© INSPECTION TIME ~.Sr© ~y --- ----- ~ - ------- - ADDRESS /~O Ste- s~. -- -- --- ~'~! P ONE hlo. X33 -37~ No. of Employees -----~ -------- FACILITYCONTACT ,.~i-, Business ID Number i s-o2 i - X00 a y'Z Section 1: Business Plan and Inventory Pn~gram i~ Routine ^ Combined O Joint Agency ^Multl-Agency ^ Complaint ^ Re-inspection C V ^ IV=Vioatonncel OPERATION APPROPRIATE PERMIT ON HAND __ _ - COMMENTS _-__ _ _ __ -_ _- _ ~ _ -__--, - ^ ^ BUSINESS PLAN CONTACT INFORMATION ACCURATE ~/ISIBLE ADDRESS q ~ ~O ^ CORRECT OCCUPANCY ^ ~/ERIFICATIQN OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION ^ PROPER SEGREGATION OF MATERIAL VERIFICATION OF MSDS AVAILABILITYE ^ VERIFICATION OF HAT MAT TRAINING 7° ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ EMERGENCY PROCEDURES ADEQUATE ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING - --- ^ ^ ----- --- --------------- FIRE PROTECTION SITE DIAGRAM ADEQUATE 8c ON HAND ANY HAZARDOUS WASTE ON SITE: ^ YES ~ NO EXPLAIN: QUESTIONS REGARDING THIS INSPECTIONS PLEASE CALL US AT (66~) 326-39]9 .~"' ~ i Inspector ~ Badge No. Bu mess Site Responsible Party /~ l1 White -Environmental Services Yellow - Sletbn Copy Pink Business Copy yJ~i-~ - - ,. _ BASERSFIELD FIRE DEPT Prevention Services UNIFIED PFIOGRAIUI INSPECTION CHECKLIST ~~; ~~r*a 900 TruxtunAve., Sutte 210 ~,. ,: SECTION 'I~: , BIIS ";, r .. ;.r-. ,....., ,,... ,;: ., ..-,~ :... ARtI t Bakersfield, CA 93301 ineSS Plan and Inventory Program ~ Tel.: (661) 326-3979 • ~ Fax:.. (661) 872-2171 t FACILITY NAME ~~~ tC,,w Feu NSPECTION DATE ~'~ J~~ NSPECTION TIME Is~~~,~,UJ~ ADDRESS ~ H'OpNE NO. O OF EM~LOYEES FACILITY CONTACT t:. USINESS ID NUMBER ~s-oz~- oo~U yz Section 1: Business Plan and Inventory Program ~~ _ __ ___ __ ___ __ __ 3 ^= ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION • C V ' (~ cornpliance~ OPERATION COMMENTS V=Violation d ^ APPROPRIATE PERMIT ON HAND ' ^ ~,r IE! BUSIn@SS PLAN CONTACT INFORMATION ACCURATE I {} ~f~, I~.~~ r~ ~ ~'„{ ~+; ~!,;r jT ~ 4~ ~-•G~'I ~ )„ ,,, ,~ Or ^ VISIBLE ADDRESS r © ^ CORRECT OCCUPANCY Q~. ^ VERIFICATION OF INVENTORY MATERIALS ~~ 0- ^ VERIFICATION OF QUANTITIES ' ~/ ~~ ^ VERIFICATION OF LOCATION Q/'n t//QQ ^" ~ r ^ PROPER SEGREGATION OF MATERIAL f .r0 ^ VERIFICATION OF MSDS AVAILABILITY ar ^ VERIFICATION OF HAZ MAT TRAINING ^ ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ,O ^ EMERGENCY PROCEDURES ADEQUATE r ` ^ ^ CONTAINERS PROPERLY LABELED _ _ ^{ r ^ HOUSEKEEPING , ^~ ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND ' r~ ANY HAZARDOUS WASTE ON SITE? ^ YES ONO EXPLAIN: - _ __ •OUESTI/ONS REGARDING THIS INSPECTION? PLEASE CALL US AT (881) 328-3979 Inspector (Please Print) Fire Prevention / 1" In / Shift of Site/Station.tl 'r White -Prevention Services Yellow -Station Copy Pink -Business Copy FD2lM8 (Rw. 02/QS) ~ _.°.- ~ ~ ~ _ ~F;F.