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SILLECT CARE ANItiAL HOSPITAL
~~ N. SILLECT
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~' ~ UNIFIED PROGRAM INSPECTION CIiECKLIST~' r~~ir
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SECTION 1: Business Plan and Inventory Program ~ ~
BAKERSFIELD FIRE DEPT
Prevention Services
900 Tnixtun. Ave., Suite 210
Bakersfield, CA 93301
Tel.: (661) 326-3979
Fax: (661) 872-2171
FACILITY NAME
~~sy NSPECTIONDATE INSPECTION TIME
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ADDRESS HONE NO. O OF EMPLOYEES
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FACILITY CONTACT USINESS ID NUMBER
15-021-
Section 1: Business Plan end Inventory Program
ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION
C V (c=Compliance OPERATION
V-Violation COMMENTS
^ APPROPRIATE PERMIT ON HAND
. ~ BUSIfI@SS 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
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la ^ VERIFICATION OF HAZ MAT TRAINING
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^ VERIFICATION OF ABATEMENT SUPPLIES AND
EDURES
^ EMERGENCY PROCEDURES ADEQUATE
^ CONTAINERS PROPERLY LABELED
^ HOUSEKEEPING
^ FIRE PROTECTION
SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUAS WASTEJ~O'N SITE?
EXPLAIN: L/.C.4~?F ~" ~oL
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 328-3978
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Inspector (Please Print) Fire Prevention / 1°' In /Shift of Sfte/Station q Business Site/ hool a Responsible Party (Please Print)
~ES ^ NO C
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White -Prevention Services Yellow -Station Copy Pink - Business Copy FD2049 (Rev. 02/05)