HomeMy WebLinkAboutINSPECTIONSUNIFIED PROGRAM INSPECTION CHECKLLST
SECTION 1: Business Plan and Inventory Program
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. Prevention Services
B F.'R s r _-, n 900 TrUxttzn Ave., Suite 210
FiR~ Bakersfield, CA 93301
a R rM --Tel.: (661) 326-3979 _
Fax: (661) 872-2171
FACILITY NAME
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PECTION DATE / INSPECTION TIME
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FACILITY CONTACT BUSINESS ID NUMBER
.Section 1: Business Plan and Inventory Program
ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT
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^ RE-INSPECTION
C V ( C=Compliance OPERATION
V=Violation COMMENTS
^ APPROPRIATE PERMIT ON HAND
^ BUSIf1eSS PLAN CONTACT INFORMATION ACCURATE
m ^ VISIBLE ADDRESS -
^ CORRECT OCCUPANCY
^ VERIFICATION OF INVENTORY MATERIALS ~N~~ ~~
^ VERIFICATION OF QUANTITIES
^ VERIFICATION OF LOCATION
^ PROPER SEGREGATION OF MATERIAL
~11 ^ VERIFICATION OF MSDS AVAILABILITY O
r ^ VERIFICATION OF HAZ MAT TRAINING
^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
^ EMERGENCY PROCEDURES ADEQUATE
^ CONTAINERS PROPERLY LABELED
^ HOUSEKEEPING
^ FIRE PROTECTION
yL'J ^ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE?
EXPLAIN:
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 ~ ~ /
Inspector (Please Print) Fire Prevention / 1s` In /Shift of Site/Station # Bus n ss Siti
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~ ~ Whit -Prevention Services Yellow Station-Copy Pink Business Copy
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FD 2155 (Rev. 09/05
UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1 Business .Plan and Inventory Program
Bakersfield Fire Dept.
Environmental Services
900 Truxtun Ave., Suite 210
Bakersfield, CA 93301
Tel: (6611326-3979
- - ---- -
FACILITY NAME 1 PECTION DATE INSPECTION TIME
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PHONE No. No. of Em to ees
ADDRESS ~ ~ ~ ~~ ~ ~ ~ r ~~/r~ G~"
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FACILITYC CT Business ID Number
~`~ l~ (,;~ A~e~ . 15-021- (~oZ ZG .
Section 1: Business Plan and Inventory Program
outine ^ Combined ^ Joint Agency ^Mu1ti-Agency O Complaint ^ Re-inspection
C V,: ~y=vioato~nnce~ OPERATION COMMENTS
'~1 ^ ~ APPROPRIATE PERMIT ON HAND
^ ~ BUSINESS PLAN CONTACT INFORMATION ACCURATE ~
~~ ^ SITE DIAGRAM ADEQUATE 8t ON HAND
ANY HAZARDOUS WASTE ON SITE: ^ YES NO
EXPLAIN:
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (66~) 326-3979
Inspector (Please Print) Fire Prevention 1st-In/Shift of Site
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Business SI a esponsible Party (Please Print)
White • Environmental Services Yellow -Station Copy Pink • Business Copy
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