HomeMy WebLinkAbout210 SUMNER STREET STE B_HMBP 4.28.10UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
Prevention Services
A C It S P I n 900 Truxtun Ave., Suite 210
FIRE Bakersfield, CA 93301
D ARTM , Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
INSPE TIO DATE
INSPECTION TIME
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ADDRESS
2/0 Sum veA sTE 6
PHONE NO.
2_ - 2820
NO OF EMP OYEES
FACILITY CONTACT
BUSINESS ID NUMBER
15 -021-
Section 1 sBusiness Plan and Inventory Program;.
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V r C= Compllance� OPERATION
l V= Violation
COMMENTS
//
��0"' ❑ APPROPRIATE PERMIT ON HAND
L, - 11 Business PLAN CONTACT INFORMATION ACCURATE
LT ❑ VISIBLE ADDRESS
13' ❑ CORRECT OCCUPANCY
E991 ❑ VERIFICATION OF INVENTORY MATERIALS
Q// El VERIFICATION OF QUANTITIES
B ❑ VERIFICATION OF LOCATION
❑ PROPER SEGREGATION OF MATERIAL
Er ❑ VERIFICATION OF MSDS AVAILABILITY
NJ ❑ VERIFICATION OF HAZ MAT TRAINING
2( ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
I( ❑ EMERGENCY PROCEDURES ADEQUATE
❑ CONTAINERS PROPERLY LABELED
❑ HOUSEKEEPING
E( ❑ FIRE PROTECTION
❑ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE?
EXPLAIN:
❑ YES „L NO
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
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Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station # ness Site / Rkpghsllble Par
White — Prevention. Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05