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'~F CITY OF BAKERSF[E1.D F1RE DEPARTNtENT
OFFICE OF ENVIRONIdiENT~~L SERVICES
,~ UNIFIED PROGRA114 INSPECTION CHECKLIST
dw ~gA.,,~~ 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301
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FACILITY NAME W ~.5~~~"' L~~` i`~~ INSPECTION DATE ~ ~S` `~"
ADDRESS 2 7 ° ~' ~ 5'T' PHONE NO.
FACILITY CONTACT BUSINESS (D NO. 15-210- q ,~ ~(
INSPECTION TIME t S /~ ~~N NLIMBER OF EMPLOYEES
Section 1: Business Plan and Inventory Program
-~ Routine ^ Combined ^ Joint Agency ^Muhi-Agency ^ Complaint ^ Re-inspection
OPERATION C V COMMENTS
Appropriate permit on hand
Business plan contact information accurate
Visible address
Correct occupancy
Verification of inventory materials
Verification of quantities
Verification of location -
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Proper segregation of material ~
Verification of MSDS availability
Verification of Haz Mat training _ _ - ___~z_.~:~.,.._.. .:~;,.,,.
Verification of abatement supplies and procedures
Emergency procedures adequate
Containers properly labeled
Housekeeping
Fire Protection
Site Diagram Adequate & On Hand
C=Compliance V=Violation
Any hazardous waste on site?: ^ Yes ^ No
Explain:
Questions regarding this inspection? Please call us at (661) 326-3979
White -Env. Svcs. Yellow - Station Copy Pink - Husiness Copy
Business Site . esponsible Party
Inspector: ~ ~/
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