HomeMy WebLinkAbout3001 BRUNDAGE LANE_HMBP 1.29.10UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
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Prevention Services.
B A E R S F 1 0
900 Truxtun Ave., Suite 210
FIRE
Bakersfield, CA 93301
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Tel.: (661) 326 -3979
NO OF EMPLOYEES
Fax: (661) 872 -2171
FACIL TY NAME
INSPECTION DATE
INSPECTION TIME
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ADDRESS
PHONE NO.
NO OF EMPLOYEES
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FACILITY CONTACT
BUSINESS ID NUMBER
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15-021-e, j(j'-4 Z.
Section' 1 Business Plan and inventory Pro -
❑ ROUTINE ❑ COMBINED ❑- JOINT AGENCY ,❑ MULTI- AGENCY ❑ COMPLAINT ❑ ARE- INSPECTION
C V
C= Compliance OPERATION
V= Violation
COMMENT S
❑
APPROPRIATE PERMIT ON HAND
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BUSineSS PLAN CONTACT INFORMATION ACCURATE
❑
VISIBLE ADDRESS
A ❑
CORRECT OCCUPANCY
❑
VERIFICATION OF INVENTORY MATERIALS
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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
❑
I
EMERGENCY PROCEDURES ADEQUATE
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CONTAINERS PROPERLY LABELED
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HOUSEKEEPING
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❑
FIRE PROTECTION
❑
SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? ''YES ❑ NO
EXPLAIN: I
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QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
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Inspector (Please Print) Fire Prevention / P` In / Shift of Site /Station # Busi porisible Party (Please Print)
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05