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UNIFIED PROGRAM INSPECTION CHECI(LIST
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SECTION 1: Business Plan and Inventory Program
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BAKERSFIELD FIRE DEPT
a , P , D Prevention Services
f~t~ 900 Truxtun Ave., Suite 210
~r*>fM r Bakersfield, CA 93301
Tel.: (661) 326-3979
Fax: (661) 872-2171
FACILITY NAME
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~ INSPECTION DATE
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~ I INSPECTION TIME
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ADDRESS
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FACILITY CONTACT USINESS ID NUMB; 5'OZ~ ~ ~~I
Section 1: Business Plan and Inventory Program ~a j
ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION
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C V { C=Compliance OPERATION
V=Violation COMMENTS
^ APPROPRIATE PERMIT ON HAND EN
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. ^ BUSIfI@SS PLAN CONTACT INFORMATION ACCURATE
^ VISIBLE ADDRESS I
^ CORRECT OCCUPANCY
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/ ` VERIFICATION OF INVENTORY MATERIALS (~~( ~(~ ~-er: aI S ~ ~`i`+~ ~~ QS ~j J~ 1^'~ E ,
^ VERIFICATION OF QUANTITIES
^ VERIFICATION OF LOCATION
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^ PROPER SEGREGATION OF MATERIAL
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^ VERIFICATION OF MSDS AVAILABILITY
^ VERIFICATION OF HAZ MAT TRAINING '(~
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^ VERIFICATION OF ABATEMENT SUPPLIES AND
OCEDURES
~~ ^ EMERGENCY PROCEDURES~ADEQUATE
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^ CONTAINERS PROPERLY LABELED
^ HOUSEKEEPING
^ FIRE PROTECTION
^ SITE DIAGRAM ADEQUATE 8 ON HAND
ANY HAZARDOUS WASTE ON SITE?
EXPLAIN: ~ ~ _ ~~
DES ^ NO
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•OUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979
Inspector (Please Print) Fire Prevention / i6t In /Shift of Site/Station #
White -Prevention Services Yellow -Station Copy Pink -Business Copy FD2049 (Rev. 02!05)