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HomeMy WebLinkAbout3000 MALL VIEW ROAD _HMBP 7.9.09UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program Prevention Services B R S F I o 900 Truxtun Ave., Suite 210 FIRE Bakersfield, CA 93301 ARTM r Tel.:. (661),326 -3979 Fax: (661) 872 -2171 FACILITY NAME ( T INSPECTION DATE INSPECTION TIME ❑ BUSIf1eSS PLAN CONTACT INFORMATION ACCURATE V ADDRESS PHONE NO. NO OF EMPLOYEES ❑ CORRECT OCCUPANCY ❑ VERIFICATION OF INVENTORY MATERIALS 1 FACILITY CONTACT (�A&ri< BTJSINESS ID NUMBER 15 -021- ONNe, w a ❑ VERIFICATION OF LOCATION Q 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 ❑ BUSIf1eSS PLAN CONTACT INFORMATION ACCURATE ❑ VISIBLE ADDRESS ❑ CORRECT OCCUPANCY ❑ VERIFICATION OF INVENTORY MATERIALS 1 ❑ VERIFICATION OF QUANTITIES ❑ VERIFICATION OF LOCATION ❑ PROPER SEGREGATION OF MATERIAL ❑ VERIFICATION OF MSDS AVAILABILITY ❑ VERIFICATION OF HAZ MAT TRAINING ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ❑ EMERGENCY PROCEDURES ADEQUATE ❑ CONTAINERS PROPERLY LABELED ❑ HOUSEKEEPING ❑ FIRE PROTECTION �✓ t �`� + /` r/ j El SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? ❑ YES �CJJ 940 EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 f� C n Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station # Knr -WJ White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05