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HomeMy WebLinkAboutINSPECTIONSPrevention Services UNIFIED PROGRAM INSPECTION CHECKLIST~i B E R s F. _ 900TruxtunAve., Suite2lo __..___ _~__ , __.~.~.._..~ .__ .w _..1~ FiRe _D .Bakersfield, CA 93301 SECTION 1: Business Plan and Inventory Program ARTM T Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME INSPECTION DATE INSPECTION TIME ~ n -~ // i o ~ s'~ ADDRESS ~t j~ PHON NO. u / NO OF EMPLOYEES FACILITY CONTACT BUSINESS ID NUMBER ~ ~ 15-021-p 0~.3 8 ~ ~ ~ Section 1; Business Plan and Inventory Pregram (~ ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V ~ C=Compliance OPERATION V=Violation COMMENTS APPROPRIATE PERMIT ON HAND ^ BUSineSS PLAN CONTACT INFORMATION ACCURATE ^ VISIBLE ADDRESS ~ ~o® ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS ^ 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 CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? ^ YES ®NO EXPLAIN: 0 QUESTIONS REG~I ~~RDING~IS INSPECTION? PLEASE CALL US AT (661) 326- Inspector (Please Print) Fir Prevention 1 s In /Shift of SitelStation # ner-Dula ~~ White -Prevention Services Yellow -Station Copy Pink -Business Copy FD 2155 (Rev. 09/05 UNIFIED PROGRAM INSPECTION CHECKLIST Bakersfield Fire Dept. Environmental Services 900 Truxtun Ave., Suite 210 Bakersfield, CA 93301 DF~ J 5 Tel: (661)_326-3979 ___-____ __ _ SECTION 1 Business Plan and Inventory Program • FACILITY NAME INSPECTION DATE INSPECTION TIME ~; nc~Se.~ drrlG,,nn_2~n~a\ ._....._._..___.._._.... __4-b-_~_ /~//c~ ADDRESS PHONE No. No. of Employees i~ _ o c~ 2 `I --------~~~=~-'~-=- --- - -~ ---~ ©~------------- , _-- - -.- -- --- --.._ -_ _- - - ..__. -- 3 21-=-~?~-151..---- ~Z _ --- - - - FACIUTYCONTACT Business ID Number ~,rr L-„~ca ~ 15-021- '~, Section 1: Business Plan and Inventory Program (Routine D Combined O Joint Agency OMulti-Agency ^ Complaint ^ Re-inspection C] C V OPERATION ~ t n~ COMMENTS l V=vio a on ^ APPROPRIATE PERMIT ON HAND ^ .BUSINESS PLAN CONTACT INFORMATION ACCURATE ^ -.,. VISIBLE ADDRESS _--._.__.__ .-~._..-- --....._ __ --- --_ _ -__. _ . _ . _.--- _ Cor('et~- .. A~•!~,SS..__ !.S . ~' 1 may.... ^ CORRECT OCCUPANCY - --- ^ - -- ~ VERIFICATION OF INVENTORY MATERIALS - ---- - ----- ------ -- -------- ___.._....._. ------ -- ..... -....._._ ... __ ____ . __ ^ ... - I VERIFICATION OF QUANTITIES . ~. ^ .VERIFICATION OF LOCATION ^ PROPER SEGREGATION OF MATERIAL c~ ----- ^ --- VERIFICATION OF MSDS AVAILABILITYE . . ._ ---- ----- -- -------- ------ . )H ^ . . . . ................... -- --- -._. ._ .... -- - VERIFICATION OF HAT MAT TRAINING f -....._. - _._... _._...._- - ._ ........._ _.. _ ... .._....-_.....-.....---- - ------- .. -- - --- ___.... ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ EMERGENCY PROCEDURES ADEQUATE ~ ANY HAZARDOUS WASTE ON SITE?: ^ YES '~NO EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661 ~ 326-3979 / (~ ^~- `~f ~_``~,~--~~- b -------- ---.--~--~ ~_.__-~/%~~~. 111 _ Inspector (Please Print) Fire Prevention 1st-InlShift of Site a Site Responsible Ay (Please Print) Whfle - EnvvonmeMal Services Yellow -Station Copy Pink -Business Copy