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HomeMy WebLinkAbout1622 UNION AVENUE.'UNIFIED PROGRAM INSPECTION CHECKLIST) SECTION 1: Business Plan and Inventory Program FACILITY NAME 6*, Prevention Services B R 5 F._I _0 900 Truxtun Ave., Suite 210 FIRE Bakersfield, CA 93301 ARTM r Tel.: (661) 326 -3979 NO OF EM'S Fax: (661) 872 -2171 FACILITY NAME 6*, INSPECTION DAT %�j//i) INSPECTION TIME JL k ro% ness�P�lan jk+' qua'G., and�ln�entory Program ❑ ADDRESS PH NE NO. NO OF EM'S FACILITY CONTACT BUSINESS ID NUMBER ❑ COMBINED ❑ JOINT AGENCY 15 -021- C ^Meties ( C= Compliance OPERATION V= Violation JL k ro% ness�P�lan jk+' qua'G., and�ln�entory Program ❑ APPROPRIATE PERMIT ON HAND ❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v ( C= Compliance OPERATION V= Violation COMMENTS ❑ APPROPRIATE PERMIT ON HAND ❑ BUSifteSS PLAN CONTACT INFORMATION ACCURATE ❑ VISIBLE ADDRESS ❑ CORRECT OCCUPANCY �l ❑ VERIFICATION OF INVENTORY MATERIALS ❑ VERIFICATION OF QUANTITIES ❑ VERIFICATION OF LOCATION ❑ PROPER SEGREGATION OF MATERIAL i� ❑ VERIFICATION OF MSDS AVAILABILITY ❑ VERIFICATION OF HAZ MAT TRAINING 1P ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ❑ EMERGENCY PROCEDURES ADEQUATE ❑ CONTAINERS PROPERLY LABELED t ❑ HOUSEKEEPING ❑ FIRE PROTECTION ❑ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZ R OUS WASTE ON SITE? EXPLAIN: S 4-e U,'040e z YES ❑ NO Rtlr-ouli QUESTIONS RE SING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 In ctor (Please Print) Fire Prevention / 1" In / Shift of Site /Station # siness Site / Resp n' ble arty ( ase Print) White —Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05