HomeMy WebLinkAbout4000 STOCKDALE HWY_BAKERSFIELD FOOT HMBP 5.5.11Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST' E E R S F t 900Truxtun Ave., Suite 210
- - _ FIRE Bakersfield, CA 93301
SECTION 1: Business Plan and Inventory Program o ARTM r Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY- ME
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INSPECTION DATE
INSPECTION TIME
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ADDRESS
❑
PHONE NO.
NO OF EMPLOYEES
❑
BUSIneSS PLAN CONTACT INFORMATION ACCURATE
.
FACILITY CONTACT
BAJSINESS ID NUMBER
15 -021- 100 V 54s-
Section 1: Business Plan and,Inventory,Program
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
V
C= Compliance OPERATION
V= Violation
COMMENTS
Pr
❑
APPROPRIATE PERMIT ON HAND
❑
BUSIneSS PLAN CONTACT INFORMATION ACCURATE
.
❑
VISIBLE ADDRESS
❑
CORRECT OCCUPANCY
p',
❑
VERIFICATION OF INVENTORY MATERIALS
❑✓
E'
❑
VERIFICATION OF QUANTITIES
❑
VERIFICATION OF LOCATION
❑
PROPER SEGREGATION OF MATERIAL
C
❑
VERIFICATION OF MSDS AVAILABILITY
❑
VERIFICATION OF HAZ MAT TRAINING
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
❑
EMERGENCY PROCEDURES ADEQUATE
P
❑
CONTAINERS PROPERLY LABELED
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❑
HOUSEKEEPING
❑
FIRE PROTECTION
❑
SITE DIAGRAM ADEQUATE & ON HAND
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ANY HAZARDOUS WASTE ON SITE? ❑ YES NO
EXPLAIN:
�Q ESTIONS REGARD 7 G THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 L® f' /+ (� Ya S
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Inspector (Please Print) -Fire Prevention /.1" In / Shift of Site /Station # Bu 'n s§ Site / Rdspongible PWty
White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05
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