HomeMy WebLinkAbout425 GOLDEN STATE AVENUE _HMBP 4.12.10UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
B B R S F I D
FIRE
D ARTM
Prevention Services
900 Truxtun Ave., Suite 210
Bakersfield,-CA 93301
Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
Vim..
INS CTIE
�► ON DAT f �. 20
INSPECTION TIME
,
COMMENTS
❑
❑
ADDRESS .2 5 � � �^
HONE NO.
NO OF EMPLOYEES
FACILITY.CONTAOqt—.i l fj
\ 1`'1 '�1 C`�Q
BUSINESS ID NUMBER
15 -021-
'Section 1 Business Plan and In��entory.Program
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
❑
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VERIFICATION OF QUANTITIES
❑
❑
VERIFICATION OF LOCATION
❑
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PROPER SEGREGATION OF MATERIAL
❑
❑
VERIFICATION OF MSDS AVAILABILITY
❑
❑
VERIFICATION OF HAZ MAT TRAINING
❑
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
❑
❑
EMERGENCY PROCEDURES ADEQUATE
❑
❑
CONTAINERS PROPERLY LABELED
❑
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HOUSEKEEPING
❑
❑
FIRE PROTECTION
❑
❑
SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WAS E ON SITE? ' -' ❑ YES ❑ NO
EXPLAIN:�1
QUESTIONS REGARDING THI INSPECTION? PLEASE CALL US AT (661) 326 -3979
Inspector (Please Print) Fire Pr6ention / 1" In / Shift of Site /Station # Business Site / Responsible Party (Please Print)
White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05