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UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
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BAHERSFIELD FIRE DEPT
Prevention Services
900 Truxtun Ave., Suite 210
Bakersfield, CA 93301
Tel.: (661) 326-3979
Fax: (661) 872-2171
FACILITY NA NS ECTION DATE NSPECTION TIME
ADDRESS 3v ~ rV d ~. .~ ~ ~ H~~ v~~ / OOF EMPLOYEES
FACILITY CO CT /~ / / _
/v[(/G~(i(QiK USINESS ID NUMBER
15-ozt- vao21~
Section 1: Business Plan and Inventory Program ~~
ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION
C
C V (C=Compliance` OPERATION
V=Violation J COMMENTS
^ APPROPRIATE PERMIT ON HAND
^ BUSInt3SS PLAN CONTACT INFORMATION ACCURATE ~ ~ _
^ VISIBLE ADDRESS
^ CORRECT OCCUPANCY
~f\ ^ VERIFICATION OF INVENTORY MATERIALS
~' ^ VERIFICATION OF QUANTITIES
OR~ ^ VERIFICATION OF LOCATION
~, ^ PROPER SEGREGATION OF MATERIAL
^ VERIFICATION OF MSDS AVAILABILITY
^ VERIFICATION OF HAZ MAT TRAINING
^ VERIFICATION OF ABATEMENT SUPPLIES AND
PROCEDURES
^ EMERGENCY PROCEDURES ADEQUATE
~L_ ^ CONTAINERS PROPERLY LABELED
~- ^ HOUSEKEEPING
~, ^ FIRE PROTECTION
^ SITE DIAGRAM ADEQUATE 8 ON HAND
ANY HAZARDOUS WASTE ON SITET ^ YES ~NO
EXPLAIN:
~UESTIONS REGARDING THIS INSPECTIONS PLEASE CALL U9 AT (881) 326-3979
Inspector (Pie tnt) Fire Prevention / 1 u In ! Shift of Site/Station tt Business Site/School Re iWe P ese Print)
White -Prevention Services Yellow -Station Copy Pink - Buainese Copy FD2049 (Rev. 02t05~
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UNIFIED PROGRAnII INSPECTION CHECKLIST
.SECTION 1: Business Plan and Inventory Program
BAKERSFIELD FIRE DEPT
B >i s P t D Prevention Services
f~tt 900 Truxtun Ave., Suite 210
~RrAI r Bakersfield, CA 93301
Tel.: (661) 326-3
Fax: (661) 872-21'TY 7 Q ~R~S
FACILITY NAME
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J
-t' NSPECTION DATE .
1 ~-z~- cam`-' INSPECTION TIME
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ADDRESS ~
3 o p l,~oc~~ m ,e.re, ~ r ~ ~3 HONE NO.
Co - o z(o O OF EMPLOYEES
FACILITY CONTACT
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~ USINESS ID NUMBER
~ s-o21- ~ ~ ~
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Section 1: Business Plan and Inventory Program ~~(~/
ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION
C
I
C V ~ C=Compliance OPERATION ' COMMENTS
V=Violation _ __ ___
^ APPROPRIATE PERMIT ON HAND
I
^ BUSitlesS PLAN CONTACT INFORMATION ACCURATE
^ VISIBLE ADDRESS
^ CORRECT OCCUPANCY
i
^ VERIFICATION OF INVENTORY MATERIALS
I
^ VERIFICATION OF QUANTITIES
^ VERIFICATION OF LOCATION
^ PROPER SEGREGATION OF MATERIAL
^ VERIFICATION OF MSDS AVAILABILITY
^ VERIFICATION OF HAZ MAT TRAINING
^ VERIFICATION OF ABATEMENT SUPPLIES AND
PROCEDURES
^ EMERGENCY PROCEDURES ADEQUATE i
^ CONTAINERS PROPERLY LABELED
^ HOUSEKEEPING
^ FIRE PROTECTION
^ SITE DIAGRAM ADEQUATE 8 ON HAND
ANY HAZARDOUS WASTE ON SITE? ^ YES ~VO
EXPLAIN: _ _
REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979
Inspector (Please Print) Fire Prevention / 16' In /Shift of Site/Station f1
White -Prevention Services Yellow -Station Copy Pink -Business Copy FD2049 (Rev. 02!05)
UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1 Business Plan and Inventory Program
Bakersfield Fire Dept.
Enironmental Services
1715 Chester Ave
Bakersfield, CA 93301
Tel: (661)326-3979
FACILITY NAME ~ INSPECTION DATE INSPECTION TIME
ADDRESS
5 on l~oo~Ltm ~er~ _~~L ~ ~ # / o~ PHONE No.
!~ -razlo No. of Employees
---- ~-------
FACILITYCONTACT
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w ~ Business ID Number
15-021-
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Section 1: Business Plan and Inventory Program
outine ^ Combined ^ Joint Agency ^Mnlti-Agency ^ Complaint ^ Re-inspection
C V \V=Vioatlonncel OPERATION COMMENTS
^ APPROPRIATE PERMIT ON HAND ~q'~
T
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USINESS PLAN CONTACT INFORMATION ACCURA
^ VISIBLE ADDRESS
^ CORRECT OCCUPANCY
^ VERIFICATION OF INVENTORY MATERIALS
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^ VERIFICATION OF QUANTITIES ~~~ ~~"E' /
VERIFICATION OF LOCATION J ~T~• •
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PROPER SEGREGATION OF MATERIAL
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^ VERIFICATION OF MSDS AVAILABILITYE ~
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ERIFICA
ION OF
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VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ----- ---
^ EMERGENCY PROCEDURES ADEQUATE
LY U CONTAINERS PROPERLY LABELED
^ H
OUSEKEEPING
^ FIRE PROTECTION
^ SITE DIAGRAM ADEQUATE ~ ON HAND
ANY HAZARDOUS WASTE ON SITE: ^ YES 'L7 IVO
EXPLAIN:
QUESTIONS REGARDING THIS INSPECTIONS PLEASE CALL US AT (661) 326-3979 ~ i ~ ~
~_. - 1_!.5.x!".4. I .~l
Inspector Badge No. ~ Business Site Responstbl arty
While -Environmental Services Yellow - Stetgn Copy' Pink -Business Copy ~ ---
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