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HomeMy WebLinkAbout330 19th Street_HMBP 5.14.10UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program Prevention, Services B- t: k s ,;_,_ 900 Truxtun Ave:, Suite 210 FIRE Bakersfield, CA 93301 a a a rM Tel'.: (661) 326 -3979 Fax: (661) 872 -2171 FACILITY NAME INSPECTION DATE INSPECTION TIME lld' ❑ BUSR1eSS PLAN CONTACT INFORMATION ACCURATE ADDRESS � '�� � � 3© P� "O.� �� ' O OF EMPLOYEES FACILITY CONTACT BUSINESS ID NUMBER Si R2 -Y' ✓ 1 15 -021- z Sectlon1 BusmessPlan, and Inventory Program RO ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI —AG. e. P AN .. - 0 R RE-INSPECTION E UTINE MULTI-AGENCY ❑ COMPLAINT C v c C= Compliance OPERATION V= Violation COMMENTS ❑ APPROPRIATE PERMIT ON HAND lld' ❑ BUSR1eSS PLAN CONTACT INFORMATION ACCURATE ❑ VISIBLE ADDRESS V❑ CORRECT OCCUPANCY ❑ VERIFICATION OF INVENTORY MATERIALS ❑ VERIFICATION OF QUANTITIES ❑ VERIFICATION OF LOCATION [j�❑ PROPER SEGREGATION OF MATERIAL V❑ VERIFICATION OF MSDS AVAILABILITY V00"❑ VERIFICATION OF HAZ MAT TRAINING VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES /❑ 2 ❑ EMERGENCY PROCEDURES ADEQUATE ❑ CONTAINERS PROPERLY LABELED ❑ HOUSEKEEPING ❑ FIRE PROTECTION iy- ❑ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SIT ? V—iS ❑ NO EXPLAIN: W i ny (-A-e QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 o,/ 0,/ Inln pe�lease Print)Print) Fire Prevention / 1' In / Shift of Site /Station # siness e / Response a Pa (Please Print) White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09105