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HomeMy WebLinkAbout4260 TRUXTUN AVENUE_OSBORN DDS HMBP 5.13.11Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST e e R S F , 0 900Truxtun Ave., Suite 210 FIRE Bakersfield, CA 93301 SECTION 1: Business Plan and Inventory Program ARTM T Tel.: (661) 326 -3979 Fax: (661) 872 -2171 FACILITY NAME ` ©s crA .01 /� J INSPECTION DATE .5-13-11 INSPECTION TIME a 3a, ADDRESS PHONE NO. NO OF EMPLOYEES Z4iO 7--K x&,, rr Ave- 6 --4zz- 8' b FACILITY CONTACT BUSINESS ID NUMBER -! 6r l Z -oo14 15 -021- Section 1: nBusiness Plan and Inventory Program _- 0 ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v C= Compliance OPERATION V= Violation COMMENTS Z ❑ APPROPRIATE PERMIT ON HAND 16 ❑ Business PLAN CONTACT INFORMATION ACCURATE VI ❑ VISIBLE ADDRESS 0 ❑ CORRECT OCCUPANCY I ❑ VERIFICATION OF INVENTORY MATERIALS 0 ❑ VERIFICATION OF QUANTITIES 0 ❑ VERIFICATION OF LOCATION PI ❑ PROPER SEGREGATION OF MATERIAL Z ❑ VERIFICATION OF MSDS AVAILABILITY 0 ❑ VERIFICATION OF HAZ MAT TRAINING 0 ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES 0 ❑ EMERGENCY PROCEDURES ADEQUATE 0 ❑ CONTAINERS PROPERLY LABELED 9 ❑ HOUSEKEEPING PJ ❑ FIRE PROTECTION Z ❑ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? EXPLAIN: ❑ YES 0 NO QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 Rea M &V & Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station # Bu ss ite / Responsible Party (Please Print) White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05