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UNIFIED PROGRAM INSPECTION CHECKLIST ~~:'
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SECTION 1: Business Plan and Inventory Program
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BARERSFIELD FIRE DEPT
a p Prevention Services
>r/~~ 900 Truxtun Ave., Suite 210
~wlrr Bakersfield, CA 93301
Tel.: (661) 326-3979
Fax: (661) 872-2171
FACILITY NAME NSPE TION DATE
~ ~ ~ 1S ~ NSPECTION TIME
~D 1 /~-
G [ L U S D
ADDRESS
~70U LDe C J1 l~N. HONE NO.
021- ~at'1 O OF EMPLOYEES
FACILITY CONTACT USINESS ID NUMBER
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Section 1: Business Plan end Inventory Program ~l l ~j~
I~ 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 ~/(~
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^ CORRECT OCCUPANCY
-
^ -
VERIFICATION OF INVENTORY MATERIALS
^ VERIFICATION OF QUANTITIES
^ VERIFICATION OF LOCATION
^
^ PROPER SEGREGATION OF MATERIAL
VERIFICATION OF MSDS AVAILABILITY
V
^ VERIFICATION OF HAZ MAT TRAINING
^ VERIFICATION OF ABATEMENT SUPPLIES AND
PROCEDURES
^ EMERGENCY PROCEDURES ADEQUATE
^ CONTAINERS PROPERLY LABELED
^ HOUSEKEEPING
^ FIRE PROTECTION
^ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? ^ YES t~ NO
EXPLAIN: - _ --- ` , _-
•QUESTtONS REGARDING THIS INSPECTION? PLEASE CALL US AT (881) 928-397!)
Inspector (Please Print) Fire Prevention / 1u In / Shift of Site/Station k Business Site/School SNe Responsible Parry (Please PrinQ
White -Prevention Services Yellow - Sletion Copy Pink - Buaineas Copy FD21/49 (Rw. 02105)
UNIFIED PROGRAM INSPECTION CHECKLIST
_ SECTION 1 Business .Plan and Inventory Program
;~
Bakersfield Fire Dept.
' Environmental Services
900 Truxtun Ave., Suite 210
Bakersfield, CA 93301
Tel: (661)_326-3979
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FACILITY NAME INSPECTION DATE INSPECTION TIME
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ADDRESS ~ PHO No. No. of Employees
FACIL TYCO TACT Business ID umber
~~ ~ ~ -1 ~,~~- L~ 15-021- OUDD S"7
Section 1: Business Plan and Inventory Program
~outine O Combined O Joint Agency OMulti-Agency O Complaint O Re-inspection
ANY HAZARDOUS WASTE ON SITE?: ^ YES ^ NO
EXPLAIN:
s
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT ~B6'I ~ 326-3979
F
Inspectoc(Please Print) Fire Prevention 1st-InlShik of Site
White - Environmental Services Yellow - Statan Copy
Business ite Responsible Pa (Please Print
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Pink -Business Copy