HomeMy WebLinkAbout324 MADISON STREET_HMBP 4.1.10UNIFIED PROGRAM INSPECTION CHECKLIST E E R S F t D
FIRE
SECTION 1: Business Plan and Inventory Program �. ''� r
Prevention Services
900 Truxtun Ave., Suite 210
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
INSPEC I N ATE
INSPECTION TIME
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ADDRESS S,Z f , / /('S� S `
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P'V NO. 7�7 7
NO OF EMPLOYEES
FACILITY CONTACT
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BUSINESS ID NUMBER
15 -021-
Section 1: Business Plan and Inventory Program
❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
v
( C= Compliance OPERATION
V= Violation
COMMENTS
❑
APPROPRIATE PERMIT ON HAND
IF
❑
Business PLAN CONTACT INFORMATION ACCURATE
❑
VISIBLE ADDRESS
Q�
❑
CORRECT OCCUPANCY
❑
VERIFICATION OF INVENTORY MATERIALS
❑
VERIFICATION OF QUANTITIES
❑
VERIFICATION OF LOCATION
1I
❑
PROPER SEGREGATION OF MATERIAL
❑
VERIFICATION OF MSDS AVAILABILITY
�9
❑
VERIFICATION OF HAZ MAT TRAINING
I�
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
�I
❑
EMERGENCY PROCEDURES ADEQUATE
❑
CONTAINERS PROPERLY LABELED
40
❑
HOUSEKEEPING
❑
FIRE PROTECTION
❑
SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? ❑ YES l NO
EXPLAIN:
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
Inspect (Please Print) Fire Prevention / 1s` In / Shift of Site /Station # Business Site / Responsible Party (Please Print)
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White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05