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UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1 Business ,Plan and Inventory Program Bakersfield Fire Dept. Environmental Services 900 Truxtun Ave., Suite 210 Bakersfield, CA 933~C Tel: (661)_326-3979 _ _ _'S7Q©~r FACILITY NAME INSPECTI N DATE INSPECTION TIME 0 o a ADDRESS (ov I Z- ~'~" 5`~ ~ - PHONE o. No. of Employees ~Zz 8?`~ i ~6 ---------- -. -----_ -------- - - FACILITYCONTACT Business ID Number ly u t 5 COX 15-021- t~ ~ o "7 Section 1: Business Plan and Inventory Program Routine O Combined O Joint Agency OMulti-Agency O Complaint O Re-inspection • ANY HAZARDOUS WASTE ON SITE7: Q YES ~NO EXPLAIN: QUESTIONS REGARDING THIS INSPECTIONS PLEASE CALL US AT ~G6'I ~ 326-397 --- ---~~-~- ._~_ a~ - --- . _-----.--- _ ----~-~--- -_-- In t:tor Please Pnnt Fire Prevention 1st-INShift of Site White • Environmental Services Yellow -Station Copy --~ Business Site Responsible Party (Please Pn rn 8 Pink -Business Copy 4~~`~ -`'~~ CITY OF BAKERSFIELD F1RE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES ,~pp3 ~ ~ ~~ UNIFIED PROGRAM INSPECTION CHECKLIST v `~ `w ~~ti,~ 1715 Chester Ave., 3'd Floor, Bakersfield, CA 93301 ~~ I FACILITY NAME i-lc,.u t~rr~ •ic~rLe [NSPECTION DATE 10 l~9 ~a3 _ ADDRESS toot z~ sue- s~~ PHONE NO. 3 a.~ - ~~t r FACILITY CONTACT t_c~~~.s ~~~' - BUSINESS ID NO. IS-21U- n is -oa.t -aoo9a~ INSPECTION TIME tv NUMBER OF EMPLOYEES 70 Section 1: Business Plan and Inventory Program outine ^ Combined ^ Joint Agency ^Minti-Agency ^ Complaint ^ Re-inspection OPERATION C V COMMENTS Appropriate permit on hand Business plan contact information accurate ~ Visible address Correct occupancy Verification of inventory materia{s Verification of quantities Verification of location Proper segregation of material Verification of MSDS availability Verification of Naz Mat training Verification of abatement supplies and procedures Emergency procedures adequate /~ Containers properly labeled Housekeeping It ~ ~~~ /~/jyj p ~ 7 Fire Protection '~ ~~~ e-.se'< ee,.aa -c'o esT~ Site Diagram Adequate & On Nand ~"' C=Compliance V=Violation Any hazardous waste on site?: ^ Yes ~'No Explain: Questions regarding this inspection? Please call us at (661) 326-3979 White -Env. Svcs. Yellow -Station Copy Pink -Business Copy ~ 1 ~,- Business Site Responsible P y Inspector: , t