HomeMy WebLinkAbout3201 F STREET _HMBP 4.23.10UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
A H R_ S_F__I_ D
FIRE
ARTM T
Prevention Services
900 Truxtun Ave., Suite 210
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
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4 Z:))/ 0
ADDRESS f7
PHONE NO.
O OF EMPLOYEES
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34/6 -16 6 /
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FACILITY CONTACT
BUSINESS ID NUMBER
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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
COMMENTS
❑ APPROPRIATE PERMIT ON HAND
L7 ❑ BUSIf1eSS PLAN CONTACT INFORMATION ACCURATE
❑ VISIBLE ADDRESS
r
ET" ❑ CORRECT OCCUPANCY
L_7, ❑ VERIFICATION OF INVENTORY MATERIALS
19-/ '_❑ VERIFICATION OF QUANTITIES
L9' ❑ VERIFICATION OF LOCATION
❑ PROPER SEGREGATION OF MATERIAL
❑ VERIFICATION OF MSDS AVAILABILITY
C9�❑ VERIFICATION OF HAZ MAT TRAINING
❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
3-__0
EMERGENCY PROCEDURES ADEQUATE
❑ CONTAINERS PROPERLY LABELED
❑ HOUSEKEEPING
tfr"❑ FIRE PROTECTION
Cgs ❑ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO
EXPLAIN
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
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Inspecto (Please Print) Fire Prevention / 1" In / Shift of Site /Station # Business Site / Res Bible Party (Please Print)
White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05