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~~~~ ~ BAKERSFIELD FIRE DEPT
Prevention Services
UNIFIED PROGRAM INSPECTION CMECKLISTY ~~t~ 9ooTruxtunAve.,sufte2lo
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SECTION 1: Business Plan and Inventory Program ~ Tel.: (661) 326-3979
I • Fax: (661) 872-2171
•
FACILITY N ME INSPECTION DATE INSPECTION TIME
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ADDRESS IJ r ~ d 9.~ ~(~` ~ S HONE NO. O OF EMPLOYQ[;~r^
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FACILITY CONTACT USINESS ID NUMBER
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Y.4rn 15-021- ~ f J~(,
Section 1: Business Plan and Inventory Program ~ ~ ~~
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UTINE ^ COMBINED ^ JOINT AGENCY ^ MULTf-AGENCY ^ COMPLAINT ^ RE-INSPECTI
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C V (C=compliance` OPERATION
V=Violation l 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
^ VERIFICATION OF HAZ MAT TRAINING
^ VERIFICATION OF ABATEMENT SUPPLIES AND
PROCEDURES
~' ^ EMERGENCY PROCEDURES ADEQUATE
^ CONTAINERS PROPERLY LABELED
C~_ ^ HOUSEKEEPING
~/
'
~
^ FIRE PROTECTION
^ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? ^ YES ^ NO
EXPLAIN:
•OU STIONS REGARDING THIS INSj~PECTION? PLEASE CALL US AT (661) 326-3978
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Inspector (Please Print) ire Preventio 1" In /Shift of Site/Station #
White -Prevention Services Yellow -Station Copy Pink -Business Copy FD2049 (Rev. 02/05)