HomeMy WebLinkAbout3401 HUGHES LANE_HMBP 2.1.10Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST '� e R_s F , 0 900 Truxtun Ave., Suite 210
_ - - -- _- — - -- - — = FIRE Bakersfield, CA 93301
SECTION 1: Business Plan and Inventory Program " ' Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACT TY M
INSPECTION DATE
INSPECTION TIME
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❑
ADDRESS
94,01 ✓ Z".)
PHONE
F37—? D
NO OF EMPLOYEES
FACILITY CONTACT
BUSINESS ID NUMBER
L fis/ e el
15 -021-
Section 1: Business Plan and Inventory Program
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
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c C= Compliance OPERATION
V= Violation
COMMENTS
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❑
APPROPRIATE PERMIT ON HAND
❑
Business PLAN CONTACT INFORMATION ACCURATE
❑
VISIBLE ADDRESS
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❑
CORRECT OCCUPANCY
❑
VERIFICATION OF INVENTORY MATERIALS
17
❑
VERIFICATION OF QUANTITIES
❑
VERIFICATION OF LOCATION
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❑
PROPER SEGREGATION OF MATERIAL
❑
VERIFICATION OF MSDS AVAILABILITY
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❑
VERIFICATION OF HAZ MAT TRAINING
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
❑
EMERGENCY PROCEDURES ADEQUATE
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❑
CONTAINERS PROPERLY LABELED
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❑
HOUSEKEEPING
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❑
FIRE PROTECTION
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❑
SITE DIAGRAM ADEQUATE & ON HAND
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ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO
EXPLAIN:
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
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Inspector (Please Print) Fire Pre ntion / 1" In / Shift of Site /Station # 4sin Site / Responsible Party (Please Print)
White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05