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HomeMy WebLinkAbout1621 23RD STREETPrevention Services UNIFIED PROGRAM INSPECTION CHECKLIST >3 ERs F 1 D 900Truxtun Ave., Suite 210 - - - -- - -- — - �— — FIRE Bakersfield, CA 93301 SECTION 1: Business Plan and Inventory Program ARTH T Tel.: (661) 326 -3979 Fax: (661) 872 -2171 FACILITY AME ' to INSPECTION DATE A—.23-1c) INSPECTION TIME r335— ADDRE S �(� H NE NO. �n O 0,� 1PLOYEES Sr ❑ FACILITY CONTACT 3USINESS ID NUMBER D -& 15- 021 -G�a s-, - Section 1:''Business Plan and InventdNy Piogram' 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 Sd ❑ VISIBLE ADDRESS ❑ CORRECT OCCUPANCY ❑ VERIFICATION OF INVENTORY MATERIALS ❑ VERIFICATION OF QUANTITIES ,C} v1&4 ❑ VERIFICATION OF LOCATION ❑ PROPER SEGREGATION OF MATERIAL IR ❑ VERIFICATION OF MSDS AVAILABILITY ❑ VERIFICATION OF HAZ MAT TRAINING LAC ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ❑ EMERGENCY PROCEDURES ADEQUATE ❑ CONTAINERS PROPERLY LABELED Ck ❑ HOUSEKEEPING ❑ FIRE PROTECTION ❑ SITE DIAGRAM ADEQUATE & ON HAND Knr -WIJ ANY HAZARDOUS WASTE ON SITE? ❑ YES P_NO EXPLAIN: 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