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HomeMy WebLinkAboutINSPECTIONS,~ UNIFIED PROGRAl1A INSPECTION CHECKLIST; SECTION 1: Business Plan and Inventory Program F BAKERSFIELD FIRE DEPT Prevention Services ~l~I 900 Truxtun Ave., Suite 210 ~RSIr s Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 872-2171 FACILITY NAME NSPECTION DATE INSPECTION TIME ~ ~, I 3- o ~.~ ~~v Arm ADDRESS HONE NO. O OF EMPLOYEES I ~ .c.l ~ ~--~2Yg /~sa -l o FACILITY CONTACT USINESS ID NUMBER Ul € (~- ~ ~ Z 15-021- Section 1: Business Plan and Inventory Program ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V (e=Conipliar'~) OPERATION V=Violation COMMENTS ^ APPROPRIATE PERMIT ON HAND BUSIfI@SS PLAN CONTACT INFORMATION ACCURATE ~..~^ VISIBLE ADDRESS ~^ CORRECT OCCUPANCY ^ VERIFICATION OF -NVENTORY MATERIALS VERIFICATION OF QUANTITIES o!~ S ~r~ ~~rr tya~~^ VERIFICATION OF LOCATION ^ PROPER SEGREGATION OF MATERIAL ~-^ VERIFICATION OF MSDS AVAILABILITY ^ VERIFICATION OF HAZ MAT TRAINING L~~^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ~'' ^ EMERGENCY PROCEDURES ADEQUATE t~-, ^ CONTAINERS PROPERLY LABELED (~ ^ HOUSEKEEPING FIRE PROTECTION c.- G' %' (~^ SITE DIAGRAM ADEQUATE & ON HAND s ~s ~ l~~ ANY HAZARDOUS WASTE/ON SITE? !'YES ^ NO EXPLAIN: 1,~,~-59~ ~ i 1 ~ / ~ j__ ---- svgs ~ ~_ JCf!t{,Sf n.~. QUEnSTIONS RE/G~ARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 /'19~t ~1/~ I /?/4~.~/I~ Inspector (Please Print) Fire Prevention / 1" In /Shift of SNe/Station N usi hoot Site Responsible Party (Please Print) White -Prevention Services Yellow -Station Copy Pink - Business Copy FD2049 (Rev. 02!05) l UNIFIED PROGRAM I~.~NECTION 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 /yT~ INSPECTION D~TE INSPECTION TIME ADDRESS ~ ~ ._- PHONE No. No. of Emplo ees J.vAv Business ID Number FACILITYCONTACT' ~~~ s -~,An1tC.c~' S~~ /~ 9 7 (e ~ 15-021- Section 1: Business Plan and Inventory Program ^ Routine Combined ^ Joint Agency ^Mnlti-Agency ^ Complaint ^ Re-inspection COMMENTS C V ~ V=Vio atonnce l OPERATION ^ ^ APPROPRIATE (PERMIT ON HAND ^ ^ BUSINESS PLAN CONTACT INFORMATION ACCURATE ^ ^ VISIBLE ADDRESS ^ ^ CORRECT OCCUPANCY _'___ y __ `_ ^ ^ VERIFICATION OF INVENTORY MATERIALS ^ ^ VERIFICATION OF DUANTITIES ^ ^ VERIFICATION OF LOCATION ^ ^ PROPER SEGREGATION OF MATERIAL ^ ^ VERIFICATION OF MSDS AVAILABILITYE ^ ^ VERIFICATION OF HAT MAT TRAINING ^ ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ^ ^ EMERGENCY PROCEDURES ADEQUATE ^ - - ONTAINERS PROPERLY LABELED ^ ^ HOUSEKEEPING ^ ^ FIRE PROTECTION ^ ^ SITE DIAGRAM ADEQUATE St ON HAND T C~~pp (~ ~ ^^I I O` ~ I t ~ UJ t ',' 1 ~; _-!1 S %d ~~~ ~~~ Q `si ,..- .~ ~.( (~: ~i :~ ~~ =~ l' n. ~', ~. ~~, ~r!'FP/~ r------ -. -. --`~ l _' ANY HAZARDOUS WASTE ON SITE: (~ YES ^ NO EXPLAIN: QUESTIONS REGARDING THIS INSPECTIONS PLEASE CALL US AT ~66'I ~ 326-3979 Inspector Badge No. ~- - wnne - Enwronmentai Services Yellow • Sletan Copy ~'-~ --„ -- .J .~ - - - _--- --- _ _ ~1~G~Q ~. Business Si esponsible Party Pmk -Business Copy Bakersfield Fire Dept. Enlronmental Services 1715 Chester Ave SECTION 1 Business Plan and Inventory Program Bakersfield, CA 9330l Tel: (66])326-3979 ! FACILITY NAME I INSPECTION DATE I INSPECTION TIME I ADDRESS I PHONE o. ~No. et Employees Section 1: Business Plan and Inven~ P~mm ~ Routine ~ Combin~ ~ Joint Agency ~ Multi-Agency ~ Complaint ~ Re-inspection C V [C=Compliance~ OPE~TION COMMENTS ~ v=violation ~ ~ APPROPRIATE PERMIT ON HAND ~ ~ BUSINESS PLAN CONTACT INFORMATION ACCU~TE ~ ~ VISIBLE ADDRESS ~ ~ CORRECT OCCUPANCY ~ ~ VERIFICATION OF INVENTORY MATERIALS ~ ~ VERIFICATION OF QUANTITIES ~ ~ VERIFICATION OF LOCATION ~ ~ PROPER SEGREGATION OF MATERIAL ~ ~ VERIFICATION OF MSDS AVAILABILIWE ~ ~ VERIFICATION OF HAT MAT TRAINING ~ ~ VERIFICATION OF ABATEMENT SUPPLIES AND PR~EDURES ~ ~ EMERGENCY PROCEDURES ADEQUATE ~ ~ CONTAINERS PROPERLY ~BELED ~ ~ HOUSEKEEPING ~ ~ FIRE PROTECTION ~ ~ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE?: [~ YES I'1 No EXPLAIN: QUESTIO ,~REGARDIN/<~ TH_IS INSPECTION? PLEASE CALL US AT (661) 326-3979 Inspector Badge No.. Business Site Responsible Party White - Environmental Services Yellow - Station Copy Pink. Business Copy Bakersfield Fire Dept. Enironmental Services 1715 Chester Ave SECTION 1 Business Plan and Inventory Program Bakersfield, CA 93301 Tel: (66 l)326-3979 FACILITY NAME ' /~..~'--,~__ I INSPE. CT~ON D~,TE I IN'SPECTION TIME ADDRESS ~' / ~ ..... ~ ' FACtL~TYCO C ~ Section 1' Business Plan and Inven~ Pr~mm [ ~ Routine ~mbin~ ~ Joint Agency ~ Multi-Agency ~ Complaint ~ Re-inspection C V /c=co~,,*..~.~ OPE~TION COMMENTS ~ V=Vioiation ~ ~ APPROPRIATE PERMIT ON HAND ~ ~ BUSINESS PLAN CONTACT INFORMATION ACCU~TE ~ ~ VISIBLE ADDRESS CORRECT OCCUPANCY .........................................................................................................................................................................~ ~ VERIFICATION OF INVENTORY MATERIALS ~ ~ VERIFICATION OF QUANTITIES ~ ~ VERIFICATION OF LOCATION ~ ~ PROPER SEGREGATION OF MATERIAL ~ ~ VERIFICATION OF MSDS AVAILABILI~E ~ ~ VERIFICATION OF HAT MAT TRAINING ~ ~ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ~ ~ HOUSEKEEPING ~ ~ FIRE PROTECTION ~ ~ SITE DIAGRAM ADEQUATE & ON HAND ANY H~ARDOUS WASTE ON SITE?; ~YES ~ NO EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 White - Environmental Services Yellow - Station Copy Pink - Business Copy