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HomeMy WebLinkAbout2128 MT VERNON_HMBP 2.17.12Prevention Services UNIFIED PROGRAM INSPECTION CHECKLISTI a E R s F. E o 900TruxtunAve., Suite 210 FIRE Bakersfield, CA 93301 SECTION 1: Business Plan and Inventory Program RrM r Tel.: (661) 326 -3979 Li Fax: (661) 872 -2171 FACILITY NAME V C= Compliance OPERATION V= Violation COMMENTS NSPECTION DATE INSPECTION TIME A T ' v 1v 1l 1 z- - -iz sKk N ADDRESS PHONE NO. O OF EMPLOYEES T er' FACILITY CONTACT BUSINESS ID NUMBER CORRECT OCCUPANCY 15- 021 - 00'3' - Section 1: Business Plan and Inventory Program ROUTINE COMBINED JOINT AGENCY MULTI - AGENCY COMPLAINT RE- INSPECTION C V C= Compliance OPERATION V= Violation COMMENTS APPROPRIATE PERMIT ON HAND Business PLAN CONTACT INFORMATION ACCURATE VISIBLE ADDRESS CORRECT OCCUPANCY VERIFICATION OF INVENTORY MATERIALS VERIFICATION OF QUANTITIES C (I 1 El El VERIFICATION OF LOCATION IL'40C_ 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 HOUSEKEEPING FIRE PROTECTION SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? YES NO EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 d (:) °36 Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station # 51 C JDI r4 '/'i —I c'_ 61 (.' Business Site / Responsible Party (Please Print) White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05