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HomeMy WebLinkAbout4101 EMPIRE DRIVE_HMBP 5.24.11UNIFIED PROGRAM INSPECTION CHECKLISTij SECTION 1: Business Plan and Inventory Program f Prevention Services F t 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- w 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 ® ❑ VISIBLE ADDRESS ® ❑ CORRECT OCCUPANCY Er ❑ 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 ® ❑ HOUSEKEEPING ❑ ® FIRE PROTECTION ✓ 'c ,� l JX 74y S ✓ ® ❑ SITE DIAGRAM ADEQUATE & ON HAND G r sI- 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