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LDNIFIED PROGRAM INSPECTION CHECKLIST
.SECTION 1: Business Plan and inventory Program
~. BAKERSFIELD FIRE DEPT
Prevention Services
~~t~ 900 Truxtun Ave., Suite 210
~w>rN Bakersfield, CA 93301
Tel.: (661) 326-3979
Fax: (661) 872-2171
FACILITY NAME
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' NSPECTION DATE
~ l~ v ~~ NSPECTION TIME
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ADDRESS
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FACILITY CONTACT
~~ l GSA USINESS ID NUMBER
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Section 1: Business Plan and Inventory Program
ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION
r:
C V t C=Compliance` OPERATION
V=Violation l COMMENTS
^ APPROPRIATE PERMIT ON HAND
^ ~ BUSIt12SS PLAN CONTACT INFORMATION ACCURATE New ~~ 7 ~C-~ ~ ~ r c ~c tJ~
^ VISIBLE ADDRESS
~^ CORRECT OCCUPANCY
^ VERIFICATION OF INVENTORY MATERIALS
^ VERIFICATION OF QUANTITIES ~ pLCJO f ~ 3 p ~ ~' ~ ~S /1 ~ ~
^ VERIFICATION OF LOCATION
^ PROPER SEGREGATION OF MATERIAL
^ VERIFICATION OF MSDS AVAILABILITY
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it
^ VERIFICATION OF HAZ 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
^ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? ^ YES NO
EXPLAIN: - _ ---- --
•OUESTIONS REGARDING THIS INSPECTION? PLEABE CALL US AT (881) 328-3979
Inspector (Please Prints ~e Prevention / 1" In / Shitt of Site/Station # Business Sde/School Ske Responst a Pa Print)
White -Prevention Services Yellow -Station Copy Pink -Business Copy FD2049 (Rw. 02/05)