HomeMy WebLinkAbout3100 MALL VIEW ROAD_HMBP 5.26.10Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST rARrN 900 Truxtun Ave., Suite 210
-- Bakersfield, CA 93301
SECTION 1: Business Plan and Inventory Program r Tel.: (661) 326 -3979
�' Fax: (661) 872 -2171
FACILITY NAME
c C= Compliance OPERATION
V= Violation
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INSPECTION DATE
INSPECTION TIME
APPROPRIATE PERMIT ON HAND
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ADDRESS V,
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PHONE NO.
NO OF EMPLOYEES
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RP,
CORRECT OCCUPANCY
'77 -65;17
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FACILITY CONTACT
VERIFICATION OF INVENTORY MATERIALS
BUSINESS ID NUMBER
Mn
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VERIFICATION OF QUANTITIES
15 -021-
Section 1. Business Plan and -inventory -Program -
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V
c C= Compliance OPERATION
V= Violation
(Please Print)
COMMENTS
❑ ;e
APPROPRIATE PERMIT ON HAND
Fire Prevention / 1" In /Shift of Site /Station #
Pr ❑
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
ACS ❑
VERIFICATION OF MSDS AVAILABILITY
I ❑
VERIFICATION OF HAZ MAT TRAINING
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
❑
EMERGENCY PROCEDURES ADEQUATE
❑
CONTAINERS PROPERLY LABELED
❑
HOUSEKEEPING
❑
FIRE PROTECTION
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❑
SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE?
EXPLAIN:
❑ YES /'N
QUESTIONS REGARDING HIS INSPECTION? PILE SE c ILL u�s�AT (661) 326 -3979
CInspector
(Please Print)
Fire Prevention / 1" In /Shift of Site /Station #
Business Site /Responsible Party (Please Print)
While — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05