HomeMy WebLinkAboutINSPECTIONSUNIFIED PROGRAM INSPECTION CHECKLIST
Bakersfield Fire Dept.
Enironmental Services
1715 Chester Ave
Bakersfield, CA 93301
Tel: (661)326-3979
SECTION 1 Business Plan and Inventory Program
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FACILITY NAME ` /~ /~ INSPECTION2DATE INSPECTION TIME
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PHONE No. o. of Employees
ADDRESS
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FACILITYCONTACT 4 Business ID Numt~er
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Section 1: Business Plan and Inventory Program ~b ~ 3
outine ^ Combined O Joint Agency ^hulti-Agency O Complaint ^ Re-inspection
C ~ \V=Voatoinnce~ OPERATION COMMENTS
^ APPROPRIATE PERMIT ON HAND
^ BUSINESS PLAN CONTACT INFORMATION ACCURATE
^ VISIBLE ADDRESS
^ CORRECT OCCUPANCY I
^ VERIFICATION OF INVENTORY MATERIALS y-~
-- -- -- -- --
^ VERIFICATION OF QUANTITIES
^ VERIFICATION OF LOCATION ~
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^ PROPER SEGREGATION OF MATERIAL
^ VERIFICATION OF MSDS AVAILABILITYE
^ VERIFICATION OF HAT MAT TRAINING
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^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES f~n
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^ EMERGENCY PROCEDURES ADEQUATE
^ CONTAINERS PROPERLY LABELED
^ HOUSEKEEPING
^ FIRE PROTECTION
1~ ~ ^ SITE DIAGRAM ADEQUATE $t ON HAND
ANY HAZARDOUS WASTE ON SITE: ^ YES ..~NO
EXPLAIN:
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT ~66'I~ 3ZB-3979
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Inspector Badge No., Business Site Responsible Party
White -Environmental Services Yellow - Staten Copy Pink • Business Copy
UNIFIED PROGRAM INSPECTION CHECI(LIST? ' p'
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SECTION 1: Business Plan and Inventory Program =~ ~"~
BAKERSFIELD FIRE DEPT
Prevention Services
900 Truxtun Ave., Suite 210
Bakersfield, CA 93301
Tel.: (661) 326-3979
Fax: (661) 872-2171
FACILITY NAME NSPECTION DATE NSPECTION TIME
ADDRESS HONE NO. O OF EMPLOYEES
1 S ~ 3 ti
FACILITY CONTACT USINESS ID NUMBER
~-, ,5-02,- c~ o a 8 3
Section , : Business Plan and Inventory Program
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
. ^ BUSIfIt?SS PLAN CONTACT INFORMATION ACCURATE
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~ ^ VISIBLE ADDRESS
I~ ^ CORRECT OCCUPANCY
^ VERIFICATION OF INVENTORY MATERIALS
^ VERIFICATION OF QUANTITIES
L~ ^ VERIFICATION OF LOCATION
^ PROPER SEGREGATION OF MATERIAL
^ VERIFICATION OF MSDS AVAILABILITY
^ VERIFICATION OF HAZ MAT TRAINING
^ VERIFICATION OF ABATEMENT SUPPLIES AND
ROCEDURES
^ EMERGENCY PROCEDURES ADEQUATE
C~ ^ CONTAINERS PROPERLY LABELED
/
~ ^ HOUSEKEEPING
^ FIRE PROTECTION
^ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? ^ YES
EXPLAIN:
QUE TIONS REGARDING THIS INSPECTION? PLEASE CALL US AT
~ - s~ _ -~
In ~ or (Plea rint) Fire Prevention / is~ In /Shift of Site/Station tt
661) 326-3979 ~~ `
Business Si~ hool Site Responsible Party (Please Print)
White -Prevention Services Yellow -Station Copy Pink -Business Copy FD2049 (Rev. 02105)