HomeMy WebLinkAbout4000 STOCKDALE HWY# C_HMBP 5.5.11UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
Prevention Services
A E R 5 F_I o 900 Truxtun Ave., Suite 210
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FIRE Bakersfield, CA 93301
ARYN r Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILI ME .^
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Seotlon 1 Bwslness Plan and Inventory Program ��, ��
INSPECTION DATE
INSPECTION TIME
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COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑
COMPLAINT ❑ RE- INSPECTION
ADDRESS -
PHONE NO. NO OF EMPLOYEES
h.;,1-3600'
BUSINESS ID NUMB .Rr1-U21 - ' Q� �./ 5 4v
FACILITY CONTACT
L a Ir i CA SC_ (2 �
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Seotlon 1 Bwslness Plan and Inventory Program ��, ��
( C= Compliance OPERATION
V= Violation
COMMENTS
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
❑
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
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❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
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❑
EMERGENCY PROCEDURES ADEQUATE
❑
CONTAINERS PROPERLY LABELED
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❑
HOUSEKEEPING
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❑
FIRE PROTECTION
❑
SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? ❑ YES X NO
EXPLAIN:
ESTIONS REGAR G THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 L 0
72 A
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Inspector (Please Print) Fire Prevention / 1s ' In / Shift of Site /Station # Bu 'n s9 Site IRE
White - Prevention Services Yellow - Station Copy Pink - Business Copy
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FD 2155 (Rev. 09/05