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UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
BAKERSFIELD FIRE DEPT
B s p D Prevention Services
Eitt~ 900 Truxtun Ave., Suite 210
aRry t Bakersfield, CA 93301
"~' Tel.: (661) 326-3979
Fax: (661) 872-2171
FACILITY NAME INSPECTION DATE INSPECTION TIME
ADDRESS
~3 ~ HONE NO.
`3~Z-"lo l O OF EMPLOYEES
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FACILITY CONTACT ~ USINESS ID NUMBER
15-021- (~O'~
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Section 1: Business Plan and Inventory Program ~~~ ~J v
ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION
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C V (~=Compliances OPERATION
V=Violation COMMENTS
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^ APPROPRIATE PERMIT ON HAND
^ BUSIfI@SS PLAN CONTACT INFORMATION ACCURATE ~ ~ ~' i12 iJ Puy r ~^~ P r+. ~~ ~ ° " a
^ VISIBLE ADDRESS
^ CORRECT OCCUPANCY ~I~r~
^ VERIFICATION OF INVENTORY MATERIALS ZOD6
^ VERIFICATION OF QUANTITIES
^
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` VERIFICATION OF LOCATION
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^
\ PROPER SEGREGATION OF MATERIAL
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^ VERIFICATION OF MSDS AVAILABILITY
^ VERIFICATION OF HAZ MAT TRAINING
^ VERIFICATION OF ABATEMENT SUPPLIES AND
CEDURES O
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\ EMERGENCY PROCEDURES ADEQUATE
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^ CONTAINERS PROPERLY LABELED
^ HOUSEKEEPING
^ FIRE PROTECTION
^ SITE DIAGRAM ADEQUATE $ ON HAND
ANY HAZARDOUS WASTE ON SITE?
EXPLAIN: __-
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979
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Inspector (Ple se Print) Fire Prevention 1°~ In /Shift of Site/Station #
^ YES ~NO
White -Prevention Services Yellow -Station Copy Pink -Business Copy FD2049 (Rev. 02/05)
UNIFIED PROGRAM INSPECTION Ch1ECKLIST
•
SECTION 1 Business Plan and Inventory Program
Bakersfield Fire Dept.
Enironmental Services
1715 Chester Ave
Bakersfield, CA 93301
Tel: (661)326-3979
FACILITY NAME
F
ADDRESS INSPECTION GATE
PHONE No. INSPECTION TIME
No. of Employees
FACILITYCONTACT ~
C~'~`- IS`$"j a
(11~ Business ID Number
15-021- ~~d
a. t_12, YS
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" ' ,, Section 1: Business Plan and Inventory Program
Routine. ^ Combined O Joint Agency ^hulti-Agency ^ Complaint ^ Re-inspection
ANY HAZARDOUS WASTE ON SITE: ^ YES ~ IVO
innCe~ OPEa2AT10N
C ~
ti COMMENTS
\V=Voa
o
^ APPROPRIATE PERMIT ON HAND
',.PI ^ BUSINESS PLAN CONTACT INFORMATION ACCURATE
^ ^ VISIBLE ADDRESS
^ CORRECT OCCUPANCY
^ VERIFICATION OF INVENTORY MATERIALS
,~ ^ VERIFICATION OF QUANTITIES
-- ----------
iCJ ^ VERIFICATION OF LOCATION
^ PROPER SEGREGATION OF MATERIAL
XI ^ VERIFICATION OF MSDS AVAILABILITYE
- -- -----------------------------
^ V
FI
M - ----------- ---------------------------
ERIFICATION OF
AT
AT TRAINING
^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
-- - - -------------
-
--------
---
-
^ EMERGENCY PROCEDURES ADEQUATE -
-----------------------------------------
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^ CONTAINERS PROPERLY LABELED
/L' -- --- ------ - --- --- -------
'
^ HOUSEKEEPING
-----------
---
-
^ FIRE PROTECTION - -------- -------------------
^ SITE DIAGRAM ADEQUATE & ON HAND
EXPLAIN:
QUESTIONS REGARDING THIS INSPECTIONS PLEASE CALL US AT (66') ~ 326-3979
Inspector Badge No. Business Site Responsible Party
White -Environmental Services Yellow -Station Copy Pink -Business Copy