HomeMy WebLinkAbout1801 panorama dr hmbp 6.4.20UNIFIED PROGRAM INSPECTION CHECKLIST Prevention services
jfA E R S F r 900 Truxtun Ave., Suite 210
FIRE Bakersfield, CA 93301
SECTION 1: Business Plan and Inventory Program �r "' t Tel.: (661) 326 -3979
Fax: (661) 872 -2171
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INSPECTION DATE
INSPECTION TIME
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ADDRESS
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PHO NO. 'NO OF EMPLOYEES
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FACILITY CONTACT
USINESS ID NUMBER
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15 -021-
VISIBLE ADDRESS
Section 1: Business Plan and Inventory Program
❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
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V
C= Compliance
V= Violation OPERATION
COMMENTS
0
❑
APPROPRIATE PERMIT ON HAND
❑
❑
Business PLAN CONTACT INFORMATION ACCURATE
❑
❑
VISIBLE ADDRESS
❑
❑
CORRECT OCCUPANCY
VERIFICATION OF INVENTORY MATERIALS
L7
❑
VERIFICATION OF QUANTITIES
❑
VERIFICATION OF LOCATION
❑
❑
PROPER SEGREGATION OF MATERIAL
VERIFICATION OF MSDS AVAILABILITY
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❑
VERIFICATION OF HAZ MAT TRAINING
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
L7
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❑
❑
EMERGENCY PROCEDURES ADEQUATE
CONTAINERS PROPERLY LABELED
❑
HOUSEKEEPING
❑
FIRE PROTECTION
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SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? -AYES ❑ NO
EXPLAIN:
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
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Inspector (Please Print) Fire Prevention / 15t In / Shift of Site /Stt/"� u,5 iness V -it _e I Ws p
(Please Print)
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05