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HomeMy WebLinkAbout1505 columbus hmbp 6.4.20UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program B E R S_ F t U FIRE �RrM r _ll Prevention Services 900 Truxtun Ave., Suite 210 Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 872 -2171 7 ;1 FACILITY NAME 'T� INSPECTION DATE ~ INSPECTION TIME C V r C= Compliance OPERATION V= Violation COMMENTS 4 ADDRESS L re C/4 PHONE NO. NO OF P�,,OYEES 7 FACILITY CONTACT BUSINESS ID NUMBER (A L -D (Z f 15 -021- Section 1: Business Plan and Inventory Program C ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C V r C= Compliance OPERATION V= Violation COMMENTS 2 ❑ APPROPRIATE PERMIT ON HAND dd ❑ Business PLAN CONTACT INFORMATION ACCURATE ❑ VISIBLE ADDRESS ❑ CORRECT OCCUPANCY C ❑ VERIFICATION OF INVENTORY MATERIALS IId ❑ VERIFICATION OF QUANTITIES ❑ VERIFICATION OF LOCATION ❑ PROPER SEGREGATION OF MATERIAL ❑ VERIFICATION OF MSDS AVAILABILITY S"' ❑ VERIFICATION OF HAZ MAT TRAINING ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ❑ EMERGENCY PROCEDURES ADEQUATE ❑ CONTAINERS PROPERLY LABELED ❑ HOUSEKEEPING Lam' ❑ FIRE PROTECTION 00 ❑ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? Lei YES ❑ NO nn )1T EXPLAIN: �"�C.�t�'`�`'`—f �F%j(4�, QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 5 - -r/4 Inspector (Please Print) Fire Prevention / 1St In / Shift of Site /Station # Business Site / Responsib Party (Please Print) White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05