HomeMy WebLinkAbout4101 EMPIRE DRIVE_HMBP 5.24.11UNIFIED PROGRAM INSPECTION CHECKLISTij
SECTION 1: Business Plan and Inventory Program f
Prevention Services
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P R S 4o 900 Truxtun Ave., Suite 210
FIRE Bakersfield, CA 93301
ARrM r Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
COMMENTS
ADDRESS
PHONE NO.
NO OF EMPLOYEES
!O ' `
2r
❑
FACILITY CONTACT
BUSINESS ID NUMBER
15- 021 - pp Z, 3 3_5-
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Section 1.: _Business Plan and Inventory Program
❑ ROUTINE ❑ COMBINED 7 ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
v
c C= Compliance OPERATION
V= Violation
COMMENTS
❑
APPROPRIATE PERMIT ON HAND
2r
❑
Business PLAN CONTACT INFORMATION ACCURATE
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❑
VISIBLE ADDRESS
®
❑
CORRECT OCCUPANCY
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❑
VERIFICATION OF INVENTORY MATERIALS
Z
❑
VERIFICATION OF QUANTITIES
❑
VERIFICATION OF LOCATION
ZI
❑
PROPER SEGREGATION OF MATERIAL
Wf
❑
VERIFICATION OF MSDS AVAILABILITY
®
❑
VERIFICATION OF HAZ MAT TRAINING
25
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
19
❑
EMERGENCY PROCEDURES ADEQUATE
0
❑
CONTAINERS PROPERLY LABELED
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❑
HOUSEKEEPING
❑
®
FIRE PROTECTION
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JX 74y S ✓
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❑
SITE DIAGRAM ADEQUATE & ON HAND
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D,
v
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO
EXPLAIN:
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station #
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05