HomeMy WebLinkAboutINSPECTIONSUNIFIED PROGRAM INSPECTION CHECKLIST
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.SECTION 1: Business Plan and inventory Program
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BASERSFIELD FIRE DEPT
a, Prevention Services
~~t~ 900 Truxtun Ave., Suite 210
~R~r ~ Bakersfield, CA 93301
Tel.: (661) 326-3979
Fax: (661) 872-2171
ILITY NAME
FAC NSPECTION DATE INSPECTION TIME
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ADDRESS
S ~ HONE NO. O OF EMPLOYEES
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FACILITY CONTACT USINESS ID NUMBER
15-021- 0~3~
Section 1: Business Plan end 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
~^ BUSItI@SS 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
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^ VERIFICATION OF HAZ MAT TRAINING
^ VERIFICATION OF ABATEMENT SUPPLIES AND
PROCEDURES
^ EMERGENCY PROCEDURES ADEQUATE
I~ ^ CONTAINERS PROPERLY LABELED
^ HOUSEKEEPING
^ FIRE PROTECTION
^ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? ^ YES
EXPLAIN: _ _ - !!!
•GIUESTIONB REGARDING THIS INSPECTION? PLEASE CALL US AT (titil) 326-3979
Inspector (Please Print) ire Prevention / 1" In /Shift of Site/Station q Business Site/Sch Site Responsible Party (Please Prat)
White -Prevention Services Yellow -Station Copy Pink - Business Copy FD2019 (Rw. 02/05)
UNIFIED PROGRAM INSPECTION CHECKLIST
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SECTION 1 Business .Plan and Inventory Program
Bakersfield Fire Dept.
' Environmental Services
900 Truxtun Ave., Suite 210
Bakersfield, CA 93301
Tel: X661)_326-3979 _ _ _
FACILITY NAME + INSPECTION DATE INSPECTION TIME
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ADDRESS PHONE No. No. of Employees
3 'Z 1 / ~/~ ~ 837-72ov - ---- _'~--.._....
FACILITYCONTACT Business ID Number
G .~• w i'r•-- J ~ ~t vr. s o ~~.- 15-021-0 D ~ f, ,3,5'
Section 1: Business Plan and Inventory Pn~giram
outine O Combined O Joint Agency ^ MUltl-Agency O Complaint O Re-inspection
ANY HAZARDOUS WASTE ON SITE: OYES ^ NO
EXPLAIN:
• QUESTIONS REGARDING THIS INSPECTIOfV~ PLEASE CALL US AT ~C)C)') ~ 326-3979
Inspector (Please Print) ~ - - --- ~ - _ - -Fire Prevention tst-INShift o(Site -
While -Environmental Services YelkriV -Station Copy
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Business Site Rea Bible Pally (Please Print)
Pink - Business Copy