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HomeMy WebLinkAbout3450 MAIN PLAZA DRIVE_HMBP 201UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program I H R S F I D FIRE ARTM T Prevention Services 900 Truxtun Ave., Suite 210 Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 872 -2171 FACILITY NAME C �L aT f. Q e INSPECTION DATE INSPECTION TIME ADDRESS PHONE NO. NO OF EMPLOYEES APPROPRIATE PERMIT ON HAND FACILITY CONTACT BUSINESS ID NUMBER g i Z- L- 15 -021- Sedtionl: Business Plan�a°nd Inventory Program ❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v c C= Compliance OPERATION V= Violation COMMENTS ❑ APPROPRIATE PERMIT ON HAND ❑ Business PLAN CONTACT INFORMATION ACCURATE ❑ VISIBLE ADDRESS ❑ CORRECT OCCUPANCY ❑ VERIFICATION OF INVENTORY MATERIALS ❑ VERIFICATION OF QUANTITIES ❑ VERIFICATION OF LOCATION ❑ PROPER SEGREGATION OF MATERIAL ❑ VERIFICATION OF MSDS AVAILABILITY ❑ VERIFICATION OF HAZ MAT TRAINING G (&rJ ,Ib ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (15 ❑ EMERGENCY PROCEDURES ADEQUATE +Q ❑ CONTAINERS PROPERLY LABELED LJ ❑ HOUSEKEEPING ❑ FIRE PROTECTION ❑ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? El YES ❑ NO < 1 EXPLAIN: is - �_-_ A i , S— n QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 61_% c Inspector (Please Print) Fire Prevention / 1s' In /Shift of Site /Station # Bus' ss Site /Responsible Party (Please Print) White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05 Prevention Services UNIFIED.PROGRAM INSPECTION CHECKLIST; rARFM 0 900 Truxtun Ave., Suite 210 -- Bakersfield, CA 93301 SECTION 1: Business Plan and Inventory Program t Tel.: (661) 326 -3979 Fax: (661) 872 -2171 FACILITY NAME INSPECTION DATE INSPECTION TIME CAL �A-"1 ��-- ,Q ice ❑ { m ADDRESS PHONE NO. NO OF EMPLOYEES 3 11,1 s O MNt ►`. PLAZA 1>Q- Business PLAN CONTACT INFORMATION ACCURATE FACILITY CONTACT BUSINESS ID NUMBER 4,t.- �C)S I C� 15-021 - C v Hq dq 9, Px ❑ { m A Section 1Buslnesslaand. °Inventory Program d' ❑ Business PLAN CONTACT INFORMATION ACCURATE �. ARE- VISIBLE ADDRESS ❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ INSPECTION C v c C= Compliance) OPERATION V= Violation COMMENTS ❑ APPROPRIATE PERMIT ON HAND \\ ❑ Business PLAN CONTACT INFORMATION ACCURATE ❑ VISIBLE ADDRESS ❑ ❑ CORRECT OCCUPANCY ❑ VERIFICATION OF INVENTORY MATERIALS V ❑ VERIFICATION.OF QUANTITIES L 111 ❑ VERIFICATION OF LOCATION ,k ❑ PROPER SEGREGATION OF MATERIAL `C., ❑ VERIFICATION OF MSDS AVAILABILITY C ❑ VERIFICATION OF HAZ MAT TRAINING ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ❑ EMERGENCY PROCEDURES ADEQUATE -0Q ❑ CONTAINERS PROPERLY LABELED %g❑ ❑ HOUSEKEEPING ❑ FIRE PROTECTION ❑ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? ❑ YES NO EXPLAIN: <L 4, 1,.L. A k :b—,/ / ' � It O-,- QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 _4 L_Jlx � Inspector . (Please Print) Fire Prevention / 1" In / Shift of Site /Station # Bus' ss Site / Responsible Party (Please Print) White - Prevention Services Yellow -Station Copy Pink - Business Copy FD 2155 (Rev. 09/05