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~ SECTION 1: Business Plan and Inventory Program `, ~
BAKERSFIELD FIRE DEPT
Prevention Services
900 Truxtun Ave., Suite 210
Bakersfield, CA 93301
Tel.: (661) 326-3979
Fax: (661) 872-2171
FACILITY NAME NSPECTION DATE INSPECTION TIME
- ~ ! ~. I ~~-- -d 5"
ADDRESS HONE NO. O OF EMPLOYEES
~, ~ b~ X23---~1
FACILITY CONTACT USINESS ID NUMBER
15-021-
Section 1: Business Plan and Inventory Program
OUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION
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
.,/
GES` ^ VERIFICATION OF LOCATION
^ PROPER SEGREGATION OF MATERIAL
(`6y~ ^ VERIFICATION OF MSDS AVAILABILITY
~/
~
~-
^ VERIFICATION OF HAZ MAT TRAINING
^ VERIFICATION OF ABATEMENT SUPPLIES AND
OCEDURES
^ EMERGENCY PROCEDURES ADEQUATE
^ CONTAINERS PROPERLY LABELED
^ HOUSEKEEPING
~., ^ FIRE PROTECTION
SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? ^ YES ~O
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QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 -
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Inspector (Please Print) ve Prevention 1°t In /Shift of Site/Station q Business Site/School~Site Responsible Party (Please Print)
White -Prevention Services Yellow -Station Copy Pink - Buaineae Copy FD2049 (Rev. 02/05)