HomeMy WebLinkAbout3208 CALIFORNIA AVENUE_HMBP 2.24.10UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
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e R R. s F t . „ 900 Truxtun Ave., Suite 210
FIRE Bakersfield, CA 93301
D ARTM Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
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ADDRESS
8 CO r-
PHONE NO
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O OF EMPLOYEES
9
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Business PLAN CONTACT INFORMATION ACCURATE '
FACILITY CONTACT
BUSINESS ID NUMBER ���
15- 021 - 0
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Section 1 B6uslness Plan and lnvento,ry Program ,
d
ROUTINE c ❑ COMBINED ❑ JOINT AGENCY l ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
v
C= Compliance OPERATION
V= Violation
COMMENTS
/
�J
❑
APPROPRIATE PERMIT ON HAND.
❑
Business PLAN CONTACT INFORMATION ACCURATE '
VISIBLE ADDRESS
❑
CORRECT OCCUPANCY
❑
VERIFICATION OF INVENTORY MATERIALS
❑
VERIFICATION OF QUANTITIES
❑
VERIFICATION OF LOCATION
❑l
P' ROPER SEGREGATION OF MATERIAL
❑
3 VERIFICATION OF MSDS AVAILABILITY
A16
❑
VERIFICATION OF HAZ MAT TRAINING
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
10/11
EMERGENCY PROCEDURES ADEQUATE
❑
CONTAINERS PROPERLY LABELED
ef
❑
HOUSEKEEPING
❑
FIRE PROTECTION
n� E PHIS 4 44 NEE U�IA��
11
SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE?
EXPLAIN-
S ❑ NO
QUESTIONS REGARDING THIS IN N? P CALL US AT (661) 326 -3979 op",
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Inspector (Please Print) . '&--Fi reventi / ` In Si tion # Busine Site /Responsible Party ease Pri
White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05