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UNIFIED PROGRAM INSPECTION CHECKLIST
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SECTION 1 Business .Plan and Inventory Program
Bakersfield Fire Dept.
Environmental Services
900 Truxtun Ave., Suite 210
Bakersfield, CA 93301
Tel: (661)_326-3979
FACILITY NAME
ADDRESS n --
FACILITYCONTACT
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PHONE No. No. of Employees
~57-~30 ~
Business ID Number
s 7-r:- ~9~s 15-021-~Ulil®~
Section 1: Business Plan and Inventory Program
~utine O Combined O Joint Agency OMulti-Agency O Complaint O Re-inspection
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ANY HAZARDOUS WASTE ON SITE?: OYES Y '•~
EXPLAIN:
• QUESTIONS REGARDING THIS INSPECTIONS PLEASE CALL US AT ~GG'I ~ 326-3979
Inspector (Please Print) ~ Fire Prevention 1st-In/Shift of Site
White -Environmental Services Yellow -Station Copy
Business Site Responsible Pa (Please Print)
Pink - Buainees Copy
UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1 Business Plan and Inventory Program
Bakersfield Fire Dept.
Enironmental Services
1715 Chester Ave
Bakersfield, CA 93301
Tel: (6611326-3979
FACILITY NAME ~j INSP CTION ATE INSPECTION TIME
ADDRESS P ONE No. No. of Em Ioyees
FACILITYCONTACT Business ID Number
~ a,z 15-021-G~UIi(o3
Section 1: Business Plan and Inventory Program
[~ Routine ^ Combined O Joint Agency ^Mnlti-Agency ^ Complaint ^ Re-inspection
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^ \V=Vioatonncel OPERATION
APPROPRIATE PERMIT ON HAND ~ COMMENTS
^ BUSINESS PLAN CONTACT INFORMATION ACCURATE
^ - -----
VISIBLE ADDRESS -------- O--Q-~ ---------- ------ --------- -- ------
^ CORRECT OCCUPANCY
^ VERIFICATION OF INVENTORY MATERIALS
^ VERIFICATION OF QUANTITIES -
^ VERIFICATION OF LOCATION -
^ PROPER SEGREGATION OF MATERIAL
----------
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^ -
VERIFICATION OF MSDS AVAILABILITYE
--- ---- -------- -- -------- --------------
- ----------- -- -----
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VERIFICATION OF HAT MAT TRAINING -------- ---- ----------- ------------
^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
^ EMERGENCY PROCEDURES ADEQUATE
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^ CONTAINERS PROPERLY LABELED ~
HOUSEKEEPING
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^ -------------
FIRE PROTECTION -- ------ --------
~ -----
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^ SITE DIAGRAM ADEQUATE ~ ON HAND ~ t,
ANY HAZARDOUS WASTE ON SITE: ^ YES ~ NO
EXPLAIN:
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US A7 ~66~~ 326-3979
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Inspector Badge No. Business Site Responsible Party ~ ,'j
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Wn~te - Envvonmentai Services - Yellow - Stelion Copy Pink -Business Copy -~