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Home My WebLink AboutInspections UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME ADDRESS FACILITY CONTACT (,d-[(~ ;,,, l~lc,,f-,r BUSINESS ID NO. 15-210- INSPECTION TIME Section 1: Business Plan and Inventory Program dRoutine [] Combined [] Joint Agency [] Multi-Agency [] Complaint [] Re-inspection OPERATION C V COMMENTS Appropriate permit on hand Business plan contact information accurate Visible address Correct occupancy Verification of inventory materials Verification of quantities Verification of location . 5 ~i'f4[ /,65/~'q~[¢~ Proper segregation of material Verification of MSDS availability ~J/ 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 C=Compliance V=Violation Any ,hazardous waste on site?: s [] No Questions regarding this inspection? Please call us at (661) 326-3979 Busifiess S)Iq R~ponsible Party White - Env. Svcs. Yellow- Station Copy Pink - Business Copy Inspector: =: ~v UNIFIED PROGRAM INSPECTION CHECKLIST Prevention Services ~, a_ E _R_s_ F ,_ ,_0 900 ZYuxtun Ave., Suite 210 ~== = -_ _ - ~ - - - --~- FiRe Bakersfield, CA 93301 __---_ _ ~ ~ ~ :~.:~,~-_ ~' ARTM r Tel.: (661) 326-3979 SECTION 1: Business Plan and Inventory Program I .Fax: (661) 872-2171 FACILITY ME INSPECTIO DATE INSPECTION TIME ~jk-e~.ts IocJ e ~~ is i~l~ ,~,t Iz, l I o o~b 3 : O~ ADDRESS ~ PHONE N NO OF EMPLOYEES f o~ ~g ST ~~, ~i66 I b FACILITY CONTACT ~~ USINESS ID NUMBER 15-021-ooo~f2q ~ ~~1~~ -~ ~~ ~ ~ ~ ~ ~ ~ ~~ Section 1. Bus~ess PI~n end [nventory Program ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION C V . ( C=Compliance OPERATION V=Violation COMMENTS ^ APPROPRIATE PERMIT ON HAND ^ BUSI11eSS PLAN CONTACT INFORMATION ACCURATE I~ ^ VISIBLE ADDRESS / ,~ ^ CORRECT OCCUPANCY ^ VERIFICATION OF INVENTORY MATERIALS ^ VERIFICATION OF QUANTITIES ^ VERIFICATION OF LOCATION ^ PROPER SEGREGATION OF MATERIAL D ^ VERIFICATION OF MSDS AVAILABILITY .~ ^ VERIFICATION OF HAZ MAT TRAINING ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ~/ ,.YJ ^ EMERGENCY PROCEDURES ADEQUATE \~ 444 ^ CONTAINERS PROPERLY LABELED ^ HOUSEKEEPING ^ FIRE PROTECTION ^ SITE DIAGRAM ADEQUATE & ON HAND nar-ouio ANY HAZARD~tOUS WAST~ ON SITE? ~ES ^ NO EXPLAIN: ~~ K'~ I Q- ~ I 1 ~ ~e~'~ 1 I l I l Iy E~ QUESTION'~~SR~E~~GARDING THIS INSPECTIIO/N~? PLEASE CALL US AT (661) 326-3979 Inspector. (Please Print) Fire Prevention / 1~' In /Shift of Site/Station # Business Site /Responsible Party (Please r R White -Prevention Services Yellow -Station Copy Pink -Business Copy FD 2155 (Rev. 09/05 UNIFIE® PFtOGi~M INSPECTION CHECKLIST SECTION 1 Business .Plan and Inventory Program • Bakersfield Fire Dept. Environmental Services 900 Truxtun Ave., Suite 210 Bakersfield, CA 93301 Tel: (661)_32b-3979 Section 1: Business Plan and Inventory Program O Routine O Combined D Joint Agency OMulti-Agency O Complaint O Re•inspection C V ~ C--Compliance ~ OPERATION COMMENTS n U FACILITY NAME INSPECTION DATE INSPECTION TIME ---~~~151ON__..__ ~a4GlS1a~/:._:-/~Pi_~J2_ - ----------- _ _..__......._..._......_ _..__ ..-- -JJ//-11~ Q~-- ~41_y~!-..__...-- ADDRESS PHO(~NO. No. of Employees FACII.ITYCONTACT usiness ID Number '~`o N Ft.~ ~ s-o2 ~ - o4oy~q ANY HAZARDOUS WASTE ON SITE?: ~ES ^ NO ExPLAIN:_ I~ASr~ ~A~ruT. e>r Y ~~~Fiz~~/~--~% ~0~./L~~'.-_,s71~~,f~'~tBs 'THEY ~~T ~i~.,f-ro ~y ,disc' ~4-!~y~~ • QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT ~GF)'I~ 326-3979 ~~~~ I~ctor (Please Print) Fire Preve"noon 1st-In/Shin of Site ess Si Responsi le Parry (Please Print) White -Environmental Services Yellow -Station Copy Pink • Business Copy 8 _~ 5 2pp3 NpV ~~~' CITY OF BAKERSFlELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES ~'~ UNIFIED PROGRAM1I 6NSPECTION CHECKLIST ,- ;we "a~~~ !'l!5 Chester Ave., 3rd Floor, Bakersfield, CA 9330! FACILITY NAME r ~~~~~~ ADDRESS ~-- FACILITY CONTACT ~' INSPECTION TIME__~~~ ~~ /~ INSPECTION DATE ~~ `~/- ~ _ PHONE NO. ~j - ,~ BUSINESS !D NO. IS-21U- ~~`~ NUMBER OF EMPLOYEES j~~ Sect'on ! : Business Pian and Inventory Program Routine ^ Combined ^ Joint Agency (] Muiti-Agency [] Complaint Q Re-inspection OPERATION C V COMMENTS Appropriate permit on hand Business plan contact information accurate Visible address 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 i~ (~ ~j~7) U i 7 C=Compliance V=Violation / ~., c'___ Any hazardous waste on site?i Yes - o Explain: _i,.-,-ice ,? ~~. :?-'.1 `~ % ,T" - -- Questions regarding thiinspection? Please cal) us at (661) 326-3979 Whig -Env. Svcs. Yellow • Sistion Copy Pink -Business Copy CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME /~rrgC.; ,', 0.'-.- ~'/~'~','(:'~ INSPECTION DATE //"/'~/-6)~'~ Al)DRESS ? O t9 t5 . / ~ ~.~ ~, PHONE NO. ~,f' 5t- O ! gg' FAC LITVCONTACT BUSINESS ID NO. IS-210- INSPECTION TIME~ ~ ,~, NUMBER OF EMPLOYEES Section 1: Business Plan and Inventory Program [~l Routine [~ Combined ~ Joint Agency [~ Multi-Agency ~1 Complaint 1~ Re-inspection OPERATION C V COMMENTS Appropriate permit on hand Business plan contact information accurate Visible address 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 ~ t~ 7at~~( t: ~,"/d.~? it,,ff~,71 ~,~ Fire Protection Site Diagram Adequate & On Hand C=Compliance V=Violation Any hazardous waste on site?: ~1 Yes [~] No Questions regarding this inspection? Please call us at (661) 326-3979 Business Site Responsible Party '