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HomeMy WebLinkAbout1541 BRUNDAGE LANEPrevention Services UNIFIED PROGRAM INSPECTION CHECKLIST B e R �SF t o 900Truxtun Ave., Suite 210 -� - -- — FIRE Bakersfield, CA 93301 SECTION 1: Business Plan and Inventory Program l� D ARTM t Tel.: (661) 326 -3979 Fax: (661) 872 -2171 FACILITY NAME M 1.0 G� I�AT'�r2� ALS INSP TION ATE t a INSPECTION TIME ADDRESS HQNE NO. 59 NO OF EMPLOYEES FACILITY CONTACT BUSINESS ID NUMBER ❑ CORRECT OCCUPANCY 15 -021- section 1: Business Plan and Inventory Program -IQ, 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 ❑ VERIFICATION OF LOCATION ❑ PROPER SEGREGATION OF MATERIAL �I El VERIFICATION OF MSDS AVAILABILITY /❑ & VERIFICATION OF HAZ MAT TRAINING ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES *J ❑ EMERGENCY PROCEDURES ADEQUATE ❑ b CONTAINERS PROPERLY LABELED ,10 ❑ HOUSEKEEPING ❑ FIRE PROTECTION ❑ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? ❑ YES QD NO EXPLAIN: e%i"C= QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station # White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05