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HomeMy WebLinkAbout2644 MT VERNON AVE_HMBP 6.25.19Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST 900 Truxtun Ave., Suite 210 .. :, A _....:R S_ fi..I D �i�g Bakersfield; CA 93301 mRr Tel.: (661) 326 -3979 SECTION 1: Business Plan and Inventory Program' Fax: ' (661) 872. -2171 FACILITY NAME �p ` j f A P INSPECTION DATE,r ANSPEC /TION TIME ADDRESS PHONE NO. NO OF EMPLOYEES FACILITY CONTACT s cj/ CE -S if H g� BUSINESS ID. NUMBER, _,�' KBF -6013 ANY .HAZARDOUS WASTE ON SITE? Ll YES ❑ NO EXPLAIN: ` QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL U'S-AT (661) 326- 3979 - t't✓ Inspector (Please Print) Fire Prevention / 1" In l Shift of Site /Station # Business Site / Responsible Party (Please Print) White — Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev: 09/05 C= Compliance. C V ( ) OPERATION V= Violation - COMMENTS ❑ El ❑ APPROPRIATE PERMIT ON HAND ® ❑ ❑ BUSIt1eSS PLAN CONTACT INFORMATION ACCURATE . ❑ ❑� -' ❑ VISIBLE ADDRESS E2" ❑ �J ❑ CORRECT OCCUPANCY `❑ i0 ❑ VERIFICATION OF INVENTORY MATERIALS ❑ ' ! ® ❑ VERIFICATION OF QUANTITIES El ❑ VERIFICATION OF LOCATION ❑ ❑ PROPER SEGREGATION OF MATERIAL Q ❑ VERIFICATION OF MSDS AVAILABILITY *' ❑ VERIFICATION OF HAZ MAT TRAINING _,�' KBF -6013 ANY .HAZARDOUS WASTE ON SITE? Ll YES ❑ NO EXPLAIN: ` QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL U'S-AT (661) 326- 3979 - t't✓ Inspector (Please Print) Fire Prevention / 1" In l Shift of Site /Station # Business Site / Responsible Party (Please Print) White — Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev: 09/05 ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES °` ® ❑ EMERGENCY PROCEDURES ADEQUATE ❑ CONTAINERS PROPERLY LABELED E2" ❑ HOUSEKEEPING `❑ FIRE PROTECTION ❑ ❑ SITE DIAGRAM ADEQUATE & ON HAND _,�' KBF -6013 ANY .HAZARDOUS WASTE ON SITE? Ll YES ❑ NO EXPLAIN: ` QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL U'S-AT (661) 326- 3979 - t't✓ Inspector (Please Print) Fire Prevention / 1" In l Shift of Site /Station # Business Site / Responsible Party (Please Print) White — Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev: 09/05