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~~WESTBURNE SUPPLY, INC.
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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
FAGILITY NAME y- INSPECTION DATE INSPECTION TIME
ADORESS ------ ------------- ~..__..-~.-= `---' -4-~---40~~ -----'--- PHONE No. _-~NO. of-EmPloyees-
FACILITYCONTACT - ~~ Business ID Number
~~ ~Z ~ ~ ~ 15-021- 0@0 7 e ~{
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Section 1: Business Plan and Inventory Program
Routine ^ Combined ^ Joint Agency ^Mnlti-Agency ^ Complaint ^ Re-inspection
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APPROPRIATE JPERMIT ON HAND
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tlr BUSINESS PLAN CONTACT INFORMATION ACCURATE
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Id ^ VISIBLE ADDRESS
LrJ ^ CORRECT OCCUPANCY -
^ VERIFICATION OF INVENTORY MATERIALS
10' ^ VERIFICATION OF QUANTITIES
~ ^ VERIFICATION OF LOCATION
^ PROPER SEGREGATION OF MATERIAL
QY ^ VERIFICATION OF MSDS AVAILABILITYE
I~' ^ VERIFICATION OF HAT MAT TRAINING
^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
^ EMERGENCY PROCEDURES ADEQUATE
D ^ CONTAINERS PROPERLY LABELED
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---- HOUSEKEEPING
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FIRE PROTECTION r
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^ SITE DIAGRAM ADEQUATE He ON HAND
ANY HAZARDOUS WASTE ON SITE: ^ YES ~ NO /
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EXPLAIN: /~I/~ c7 / 7
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QUESTIONS REGARDING THIS INSPECTIONS PLEASE CALL US AT ~66~~ 326-3979
Inspector Badge No.
White -Environmental Services Yellow - Stalan Copy
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Business Site Responsible Party
Pink -Business Copy