HomeMy WebLinkAbout307 CALIFORNIA AVENUE_HMBP 6.3.10UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
Prevention Services
R T R S * r I ._ „ 900 Truxtun Ave., Suite 210
FIRE Bakersfield, CA 93301
v ARTM Tel (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
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INSPECTIO DATE
601,57 %
INSPECTION TIME
CI , !.!5"-
ADDRESS
PHONE NO ' G/
NO OF EMPLOYEES
FACILITY CONTACT
V iA-& -mom/ 0�2 7e'L,%e t-
BUSINESS ID NUMBER
15 -021-
`Section 1: 'Business Plan and Inventory Program
❑ ROUTINE ❑ COMBINED ❑ JOINTAGENCY ❑ MULTI - AGENCY" ❑ COMPLAINT ❑ RE- INSPECTION
C v C= Compliance OPERATION
V= Violation
COMMENTS
❑ APPROPRIATE PERMIT ON HAND
❑ Business PLAN CONTACT INFORMATION ACCURATE
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❑ VISIBLE ADDRESS
❑ CORRECT OCCUPANCY
;
❑ VERIFICATION OF INVENTORY MATERIALS
❑ 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
❑ ❑ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO
EXPLAIN:
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL Us AT (s61) 326 -3979
61-2, S gam- Le-5 24 -f. fit
Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station # usiness Site Responsible Party ("se Pkfit)
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White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05