HomeMy WebLinkAbout321 Lake Street_HMBP 6.18.10UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
FACILITY NAME
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Services
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900 Truxtun Ave., Suite 210 •
DTPrevention
FIRE
Bakersfield, -CA 93301
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Tel.: (661) 326 -3979
Fax: (661) 872 =2171
FACILITY NAME
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INSPECT ON DAjrE
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INSPECTION TIME
/5. 35
ADDRESS ^
/11
PH 9'N7._ / O 1�
O OF EMPLOYEES
FACILITY CONTACT
BUSINESS ID NUMBER
15 -021- 002.526
❑
g R Sect o�n1 Business Plan and In�entory'Pr °ogram &aF 4
❑ ROUTINE ❑. COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C v
C= Compliance OPERATION
V= Violation
COMMENTS
❑
APPROPRIATE PERMIT ON HAND
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Business PLAN CONTACT INFORMATION ACCURATE
❑
VISIBLE ADDRESS
Business it / Responsible Party (Please Print)
❑
CORRECT OCCUPANCY
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VERIFICATION OF INVENTORY MATERIALS
❑
VERIFICATION OF QUANTITIES
❑
VERIFICATION OF LOCATION
❑
PROPER SEGREGATION OF MATERIAL
❑
VERIFICATION OF MSDS AVAILABILITY
Ll -Z 0 N IM• 5-P S
T
❑
VERIFICATION OF HAZ MAT TRAINING
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
❑
EMERGENCY PROCEDURES ADEQUATE
❑
CONTAINERS PROPERLY LABELED
❑
HOUSEKEEPING
❑
FIRE PROTECTION
3 �a
❑
SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? ',J�ES ❑ NO
EXPLAIN: ( 0-1 L-
QUE IONS REGA
G THIS• INSPECTION?
PLEASE CALL US AT (661) 326 -3979
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Fire Prevention / 1" In / Shift of Site /Station #Fire Prevention / 1" In / Shift of Site /Station #
Business it / Responsible Party (Please Print)
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05