HomeMy WebLinkAboutBUSINESS PLAN (2)®,~
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UNIFIED PROGRAM INSPECTION CHECKLIST
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SECTION 1 Business .Plan and Inventory Program
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Bakersfield Fire Dept.
Environmental Services
900 Truxtun Ave., Suite- 210
Bakersfield, CA 93301
Tel: (661)__326-3979 _____
FACILITY NAME C ~ ~ \ __ INSPECTION DATE INSPECTION TIME
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ADDRESS PHONE No. No. of Employees
FACILITVCONTACT Business 10 Number
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Section 1: Business Plan and Inventory Pn~gram
Routine ^ Combined ^ Joint Agency ^~ulti-Agency O Complaint O Re-inspection
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C V nce~ OPERATION
Pl COMMENTS
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^ ^ APPROPRIATE PERMIT ON HAND
~ ^ BUSINESS PLAN CONTACT INFORMATION ACCURATE
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^ VISIBLE ADDRESS
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'~ ^ CORRECT OCCUPANCY
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~ -- --- ---- - - ---. _..._..----- - - - -- - - - --- -- ----- --- _ ... --- _ . ... i -- - - _ _ _ .... .
I~ ^ VERIFICATION OF INVENTORY MATERIALS
^ VERIFICATION OF QUANTITIES
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^ .VERIFICATION OF LOCATION ~
Q ^ PROPER SEGREGATION OF MATERIAL
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-- VERIFICATION OF MSDS AVAILABILITYE
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^ VERIFICATION OF HAT MAT TRAINING '
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^ VERIFICATION OF ABATEMENT SUPPLIES ANO PROCEDURES
^
EMERGENCY PROCEDURES ADEOUATE i
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^ - _ _ _--------------- __ _ _ __.._....------ - - - - -
CONTAINERS PROPERLY LABELED I -- -- - . _.. __.. _..... _ -- .. _.. -- -- - - - _..... _._.. _ _ .._ . _.. --- -. _. .....- --- - ...
^ HOUSEKEEPING
^. FIRE PROTECTION
^ .SITE DIAGRAM ADEQUATE ~ ON PIANO
ANY HAZARDOUS WASTE ON SITE?: ^ YES ~VO
EXPLAIN:
• QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT ~66'I ~ 326-3979
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Inspector (Please Print) Fire Prevention tst-INShift of Site
While - Enwonmental Services Yellow -Station Copy
B~ ' -Responsible Party (Please Print)
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Pink -Business Copy
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- - * Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST s ~ ~ n 900Truxtun Ave.
suite 210
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Bakersfield, CA 93301
SECTION 1: Business Plan and Inventory Program ~
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, Tel.: (661) 326-3979
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~~;>- Fax: (661) 872-2171
- FACILITY NAME /~ - ~ - INSPECTION ATE INSPECTION-TIME
- ADDRESS. - - ~, - ~ ~ --
_ = 3550 ~- z~ 2 ,PHONE NO.
2~{ ~ 1~SS NO OF EMPLOYEES
- ~ FACILITY CONTACT BUSINESS ID NUMBER
15-021-p 8 23 ~
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j Section 1: Business Plan and Inventory Program
^ ROUTINE ~ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION
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V C=Compliance
( ) OPERATION
V=Violation '
COMMENTS
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APPROPRIATE PERMIT ON HAND I
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^ BUSIf1eSS PLAN CONTACT INFORMATION ACCURATE
~ .~ ^ VISIBLE ADDRESS
^ CORRECT OCCUPANCY
^ VERIFICATION OF INVENTORY MATERIALS
^ VERIFICATION OF QUANTITIES
^ VERIFICATION OF LOCATION
^ PROPER SEGREGATION OF MATERIAL
^ VERIFICATION OF MSDS AVAILABILITY q
^ VERIFICATION OF HAZ MAT TRAINING ~ -
^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
^ i
EMERGENCY PROCEDURES ADEQUATE
I ^ CONTAINERS PROPERLY LABELED
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^ HOUSEKEEPING
i
^ FIRE PROTECTION
^ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? ^YES~1 NO
EXPLAIN:
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 ~ /~~ ~
Inspector (Please P-rint) Fire Prevention /.1~` In /Shift of Site/Station # Business Site / Respo sible Party (Please Print) ;
-White -Prevention Services - Yellow -Station Copy Pink -Business Copy - FD 2155 (Rev. 09/05
UNIFIED PROGR~-M INSPECTION CHECKLIST
.SECTION 1:
Business Plan and Inventory Program
BARERSFI[E1f.D FIRE DEPT
a p Prevention Services
Rittii 900 Truxtun Ave., Suite 210
~~>rr Bakersfield, CA 93301
Tel.: (661) 326-3979
Fax: (661) 872-2171
FACILITY NAME
c 1 ~ n ~ c S`e~ U 's NSPECTION DATE
~'~z~~o-6 INSPECTION TIME
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ADDRESS
.~s s-~~ HONE NO.
y iyss 00 EMPLOYEES
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FACILITY CONTACT/ d ~~
/IV(]~^-(- USINESS ID NUMBER
~s-oz~- ®6 2317
Section 1: Business Plan and Inventory Program
ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION
C V (C-eorn~'ia"`~) OPERATION
v.violation
COMMENTS
^ APPROPRIATE PERMIT ON HAND
^ BUSIr1BSS PLAN CONTACT INFORMATK)N ACCURATE
^ VISIBLE ADDRESS
^ CORRECT OCCUPANCY
^ VERIFICATION OF INVENTORY MATERIALS
^ VERIFICATION OF QUANTITIES
^ VERIFICATION OF LOCATION -
^
^ PROPER SEGREGATION OF MATERIAL
VERIFICATION OF MSDS AVAILABILITY
-- - -
[~~ ~ 6 ~~
ry
^ VERIFICATION OF HAZ MAT TRAINING
^ VERIFICATION OF ABATEMENT SUPPLIES AND
ROCEDURES 6
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^ EMERGENCY PROCEDURES ADEOUATE ~
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`
^ CONTAINERS PROPERLY LABELED r
t
^ HOUSEKEEPING
^ FIRE PROTECTION
~Q ^ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITES ^ YES ~NO
EXPLAIN: -
~UESTIONS REGARDING THIS INSPECTIONS PLEASE CALL US AT (861) 326-3979
Inspector (Please Print) Fire Prevention / 1" In / Shift of Site/Station aY B Sde/Schoo fte Res ible (Please Pritt)
WMte -Prevention Services Yellow -Station Copy Pink - Buainese Copy FD20~9 (Rev. 02/05)