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HomeMy WebLinkAbout2627 haley hmbp 3.13.20UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program Prevention Services JfARrM E R S F I v 900 Truxtun Ave., Suite 210 FIRE Bakersfield, CA 93301 T Tel.: (661) 326 -3979 Fax: (661) 872 -2171 FACILITY NAME INSPECTION DATE e3- Q INSPECTION TIME ADDRESS PHrONE NO. 6 / - MP - 3 NO OF EMPLOYEES FACILITY1 CONTACT /y r �a" �V �� BUSINESS ID NUMBER 15 021 e �t 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 cK ❑ Business PLAN CONTACT INFORMATION ACCURATE Cge-- ❑ VISIBLE ADDRESS C 3' - %, ❑ CORRECT OCCUPANCY ❑ VERIFICATION OF INVENTORY MATERIALS R, ❑ VERIFICATION OF QUANTITIES ZI., ❑ VERIFICATION OF LOCATION &k ❑ PROPER SEGREGATION OF MATERIAL 325� ❑ VERIFICATION OF MSDS AVAILABILITY 0�_❑ VERIFICATION OF HAZ MAT TRAINING ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES D<' , ❑ EMERGENCY PROCEDURES ADEQUATE ❑ ❑ CONTAINERS PROPERLY LABELED '49, ❑ HOUSEKEEPING 15, ❑ FIRE PROTECTION ❑ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? �'ES ❑ NO EXPLAIN: U�G[�► /`' ; / � T� ��i'i' QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 Inspector (Please Print) Fire Prevention / 1s' In / Shift of Site /Station # Busies Site / Res White — Prevention Services Yellow - Station Copy Pink — Business Copy ease Print) FD 2155 (Rev. 09/05