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HomeMy WebLinkAbout400 STOCKDALE HWY_HMBP 5.5.10UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program Prevention Services rAR 900 Truxtun Ave., Suite 210 FIRE Bakersfield, CA 93301 T Tel.: (661) 326 -3979 Fax: (661) 872 -2171 FACILITY NAME �r INSPECTION DATE - "'-z INSPECTION TIME If v'.SC) ADDRESS 400 t PHONE NO. . �� NO OF EMPLOYEES �l FACILITY CONTACT BUSINESS ID NUMBER - CX) 5-76, // k� 111,1111 ❑ APPROPRIATE PERMIT ON HAND S . �u' sl lan and Igve ness Pc©I ❑ VISIBLE ADDRESS ❑ CORRECT OCCUPANCY ROUTINE COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v c C= Compliance OPERATION V= Violation COMMENTS ❑ APPROPRIATE PERMIT ON HAND ❑ BUSIf1eSS PLAN CONTACT INFORMATION ACCURATE ❑ VISIBLE ADDRESS ❑ CORRECT OCCUPANCY ❑ VERIFICATION OF INVENTORY MATERIALS Pr ❑ VERIFICATION OF QUANTITIES le ❑ VERIFICATION OF LOCATION ❑ PROPER SEGREGATION OF MATERIAL ❑ VERIFICATION OF MSDS AVAILABILITY ❑ VERIFICATION OF HAZ MAT TRAINING oe ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ❑ EMERGENCY PROCEDURES ADEQUATE ❑ CONTAINERS PROPERLY LABELED ❑ HOUSEKEEPING ❑ FIRE PROTECTION ❑ SITE DIAGRAM ADEQUATE & ON HAND Kbh -W J ANY HAZARDOUS WASTE ON SITE? EXPLAIN: ❑ YES x NO QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 �A r-4 - r)211 0 - 7 Inspector (Please Print) ire Prevention 11" In / Shift of Site /Station # [ Business Site! Responsible Party (Please Pr t) White - Prevention Services . Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05