HomeMy WebLinkAboutInspectionsADDRESS
FACILITY COld'ACT
INSPECTION TIME
Section 1:
~j/Routine
CITY OF BAKERSFIELD FIRE DEPARTMENT
OFFICE OF ENVIRONMENTAL SERVICES
UNIFIED PROGRAM INSPECTION CHECKLIST
1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301
PHONE NO. f~;]'"[- ?
SINESSm O. S-2 0- 00207b
NUMBER OF EMPLOYEES ~O
Business Plan and Inventory Program
[21 Combined [~1 Joint Agency ~ Multi-Agency [-] Complaint [~ Re-inspection
OPERATION C V COMMENTS
Apprgpriate 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 V
Verification of MSDS availability
Verification of Haz Mat training
Verification of abatement supplies and procedures V
Emergency procedures adequate
Containers properly labeled
Housekeeping
Fire Protection
Site Diagram Adequate & On Hand
Any hazardous waste on site?: ~Yes [~No gob b 3'/-7'"z)qO
Explain: ~ , /^ /~ ~
Questions re~ding this ~a~efion? Pi~e call us at (661) 326-3979 ~usifiess Site Responsible Party
White- Env. Svcs. Yellow- S.tion Copy Pink-Business Copy InspectorF~~~
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.¡ ,r\ '-- 1'! Bakersfield Fire Dept.
-tJNIFIED PROGRAM INSPECTION CHECKLIST ~ Enironmental Services
~- 1715 Chester Ave
SECTION 1 Business Plan and Inventory Program Bakersfield, CA 93301
Tel: (661)326-3979
~ACILITY_::_:E·:fi\Cb~._1~~_________________
ADDRESS lŒ2____0at,___$~------!-
FACILlTYCONTACT
INSPECTION DATE INSPECTION TIME
--~------_..__._---- ----_._---~_._.-._--_.._--
PHONE No. No. of Employees
_____.___._ ____ ___ _ .._.____________. __ no..
Business 10 Number
15-021- eJ{J7.tJ7~
....
.. ..
Section 1: Business Plan and Inventory Program
-. .
LI. Ròutine
LI Combined
LI Joint Agency
LI Multi-Agency
LI Complaint
LI Re-inspection
C V ( C=Cornpliance )
V=Violation
OPERATION
COMMENTS
___, ._....,.,n___..___"___~__,____._.._.._____.__..__..__~.______ ___..'.____...________.._.._.___._
- -.-..--..------...----- --.--- ---..
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-- ~ ~6° --:1- -- -----
--- ----- 0~~;;--T--- -----
--- b /t>------ u_ -----
..nu n~\~_( \t .-
-- ---- _ -- --~--------------------- ---
----. .-
LI LI ApPROPRIATE PERMIT ON HAND
f---------,----------------------------------.---------------------- .------.--.-
. __.··________..._....____u ____ ___
LI LI BUSINESS PLAN CONTACT INFORMATION ACCURATE
____~_·______________________.____________.u__.___ ~..,.____._ __ ._________... _.__.. ,.___ __.__...
__ ·___________._._.._._n _._~__.
LI LI VisiBLE ADDRESS
n_.___...___.._
LI LI CbRRECT OCCUPANCY
f---.--·c-------~-------·--·-----·--··--·-·-··--------·----~-----.----.---- ---.---.------..-- --. -------.- --. --.--.--.---------- .----.-.....- -
LI LI VERIFICATION OF INVENTORY MATERIALS
----.-----------------------------,--- -----.-----.------.--...---
_____________ ,,_n___ __n_....____
.0- ______.._________.___._._._____ __n_ .____
LI LI VERIFICATION OF QUANTITIES
f--------- --.----~-----.----- --------------.----..--.-.--- -.----. -- ---.--..----.-..---.. -----.-.--
---.--..... ------ -.. ..-...... --- .- -- -- -----..--...-..-- --
LI LI VERIFICATION OF LOCATION
f------------.-n----- ----.---______.____ ____..__.____
LI ¡j PROPER SEGREGATION OF MATERIAL
._.___._ .... .. _____un ...._.._ ..... .____u____ ~__________._,.___._
__no _.__..__ _..___. ..._... _..___.__ _n_. ._.____.______._u_.__ _ _ _...______._.._.____.___________n
LI ¡j VERIFICATION OF MSDS AVAILABILlTYE
'------___n_~--~------.--.--.--- ._____________ _.___ ____._. _____._.._____._________
LI r:ì VERIFICATION OF HAT MAT TRAINING
-_._-~-_.._------------------_._-------------- -----.--...---- ----....
d LI VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
_ ______.____.____ ..0_ ___~___ _..-______.._ ~__________.__.._
__.. ____ .._.___.__.__. __.______ __n__..__ .._ ._______ ..__._.____...._____~____.______.____. ._._.
___~____·__·___·_.._.._m._._..._._____~________.______._ ___._
----.---
_____n___.__ ...._. __._ ____.____ _._______.m_._________.__._ _ ___.._..____ .._ .__
-~------_._---_._.
-.-.--- --
CI Õ EMERGENCY PROCEDURES ADEQUATE
-'-c--------~-------.-...----.---------.----...----..----.--..---.
LI i:J CONTAINERS PROPERLY LABELED
---...- ---.- -.--- ...- .-- --..---.---
..__,_.._.__._ n..._..______._. .___ ._..n__.___.___ __..____ ___._._..._.___. __._____.._..____..._.__..._ ____.___
d LI HOUSEKEEPING
Ö LI FIRE PROTECTION
d LI SITE DIAGRAM ADEQUATE & ON HAND
---------.-.--- ----. -- ---------.- ..-...- ---
-. -. ......--.-..-..-.------.----.--------- .-----.-
__ ._._ __u___________ _ _ _.._m_._._
-- .---
._n_. __ .___._._.__________._._______._.__.....
ANY HÁZÄRDOUS WASTE ON SITE?:
LI YES
LI No
EXPLAIN:
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979
.---------.-----.-.---.--.----.-.------ -------- .-------.----------------------------.--..-
Inspector (Please Print)
Fire Prevention 1 st-In/Shift of Site
-------------------.---------
Business Site Responsible Party (Please Print)
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White - Environmental Services
Yellow - Station Copy
Pink - Business Copy