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HomeMy WebLinkAbout3761 MALL VIEW_HMBP 5.17.10G • Prevention Services UNIFIED PROGRAM INSPECTION CHECKLISTI: B- x B R s F t 1 0 900717ruxtun Ave., suite 210 J; FIRE Bakersfield, CA 93301 SECTION 1:. Business Plan and Inventory Program cERrM �r Tel.: (661) 326 -3979 Fax: (661) 872 -2171 FACILITY NAME INSPECTION DATE INSPECTION TIME ` El El Business PLAN CONTACT INFORMATION ACCURATE A,a ADDRESS PHONE NO. NO OF EMPLOYEES _ 05-7— R w U FACILITY CONTACT BUSINESS I UMBER ! >r'oq qq 7- L 15 -021- Section 1 Business Plan and Inventory Program PPIROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v C= Compliance OPERATION V= Violation COMMENTS 0/❑ APPROPRIATE PERMIT ON HAND ` El El Business PLAN CONTACT INFORMATION ACCURATE r ��❑ VISIBLE ADDRESS u ,a q/ ❑ CORRECT OCCUPANCY _ 05-7— GJ% ❑ VERIFICATION OF INVENTORY MATERIALS w U ❑ VERIFICATION OF QUANTITIES ❑ 0 ❑ VERIFICATION OF LOCATION ❑O /' ❑ PROPER SEGREGATION OF MATERIAL ❑ VERIFICATION OF MSDS AVAILABILITY —DO" LY ❑ VERIFICATION OF HAZ MAT TRAINING D ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ❑/❑ EMERGENCY PROCEDURES ADEQUATE ❑ CONTAINERS PROPERLY LABELED ❑ HOUSEKEEPING I/❑ FIRE PROTECTION Ole ® ❑ SITE DIAGRAM ADEQUATE & ON. HAND nnr -nma ANY HAZARDOUS WASTE ON SITE? + ES ❑ NO EXPLAIN' 1662 WOSle— i QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 it a��i Inspector (Please Print) Fire Prevention / 151 In / Shift o Site /Station # Business Site / Responsible Party (Please Print) White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05