HomeMy WebLinkAbout4200 STINE_HMBP 5.3.11UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
Prevention Services
R LRTN ,„ 900 Truxtun Ave., Suite 21.0
FIRE Bakersfield, CA 93301
Tel.:. (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NA E
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INSPECTION DATE
INSPECTION TIME
Ile
ADDRESS
PHONE N0.
NO OF EMPLOYEES
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ld ❑
FACILITY CONTACT
BUSINESS ID NUMBER
i 130A14,16A
15- 021 ?��
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Section 1 °Business Plan and Inventory Program
❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V
( C= Compliance OPERATION
V= Violation
COMMENTS
❑
APPROPRIATE PERMIT ON HAND
—/
ld ❑
Business PLAN CONTACT INFORMATION ACCURATE
❑
VISIBLE ADDRESS
❑
CORRECT OCCUPANCY
❑
VERIFICATION OF INVENTORY MATERIALS
❑
VERIFICATION OF QUANTITIES
❑
VERIFICATION OF LOCATION
PROPER SEGREGATION OF MATERIAL
J❑
.E ❑
VERIFICATION OF MSDS AVAILABILITY
❑
VERIFICATION OF HAZ MAT TRAINING
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
EMERGENCY PROCEDURES ADEQUATE
❑
CONTAINERS PROPERLY LABELED
❑
HOUSEKEEPING
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❑
FIRE PROTECTION
❑
SITE DIAGRAM ADEQUATE & ON HAND
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ANY HAZARDOUS WASTE ON SITE? ❑ YES NO
EXPLAIN:
QUESTIONS REGARD NG THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
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I sp or (Ple rint) Fire Prevention / 1" In / Shift of Site /Station # usin ss ite / Responsible Party (Please Print)
White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05