HomeMy WebLinkAbout3809 San Dimas_HMBP 6.29.10UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
Prevention Services
>a A R R S F t o 900 Truxtun Ave., Suite 210
FIRE Bakersfield, CA 93301
D ARrM r Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME �OM 0.S
INSPE1)ION 1d
INSPEC to TIME
ADDRESS Sa S
1%
Pbl� �E X20-39? /
NO OF EMPLOYEES
CQJ
FACILITY CONTACT
Sha P
BUSINESS ID NUMBER
15 -021-
(_O N r, N
❑
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Sectwn 1'B�usiness Plan =,andi,lnyentory'Program,
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12�" ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
v
C= Compliance OPERATION
V= Violation
COMMENTS
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❑
APPROPRIATE PERMIT ON HAND
❑
Business PLAN CONTACT INFORMATION ACCURATE
❑
VISIBLE ADDRESS
El
CORRECT OCCUPANCY
(�
t(J
❑
VERIFICATION OF INVENTORY MATERIALS
❑
VERIFICATION OF QUANTITIES
t1M
xy
❑
VERIFICATION OF LOCATION
❑
PROPER SEGREGATION OF MATERIAL
1
❑
VERIFICATION OF MSDS AVAILABILITY
❑
VERIFICATION OF HAZ MAT TRAINING
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
❑
EMERGENCY PROCEDURES ADEQUATE
�I
1
❑
CONTAINERS PROPERLY LABELED
❑
HOUSEKEEPING
❑
FIRE PROTECTION
❑
SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? r t'YES❑i NO t1
EXPLAIN: x— &h 7 "Wilt e C'ixe� ` I /QS Ste- ��OOtI,GtI
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
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Inspector (Please Print) Fire Prevention / 1s' In / Shift of Site /Station # Business Site / Responsible Party (Please Prin
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05