HomeMy WebLinkAbout4260 TRUXTUN Avenue_ TRUXTUN SURGERY HMBP 5.13.11 (2)UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
Prevention Services
B B R S F t o 900 Truxtun Ave., Suite 210
FIRE Bakersfield, CA 93301
ARTM r Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
CiA❑ BUSIf1eSS PLAN CONTACT INFORMATION ACCURATE
ADDRESS
PHONE NO.
NO OF EMPLO EES
C( 2 %c� �� .� X u n J `2.0
Z�
FACILITY CONTACT
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BUSINESS ID NUMBER
15 -021- Z-1 3 z
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section 1�: Business= Plan.and Inventory Program
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C v c C= Compliance OPERATION
V= Violation
COMMENTS
Q /❑ APPROPRIATE PERMIT ON HAND
CiA❑ BUSIf1eSS PLAN CONTACT INFORMATION ACCURATE
IV ❑ VISIBLE ADDRESS
❑ CORRECT OCCUPANCY
❑ VERIFICATION OF INVENTORY MATERIALS
l(Y / ❑ VERIFICATION OF QUANTITIES
10/❑ VERIFICATION OF LOCATION
0/_ ❑ PROPER SEGREGATION OF MATERIAL
❑ VERIFICATION OF MSDS AVAILABILITY
I_2 ❑ VERIFICATION OF HAZ MAT TRAINING
11V / ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
q/ ❑ EMERGENCY PROCEDURES ADEQUATE
Itr / ❑ CONTAINERS PROPERLY LABELED
QY ❑ HOUSEKEEPING
L� ❑ FIRE PROTECTION
❑ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE?
EXPLAIN:
QUESTIONS REGARDING THIS INSIP PLEASE CALL US AT (661) 326 -3979
7G �! a-
Busi ss Site / es onsib Pa Please Print 1
Inspector (Please Print) Fire Preve / 1" In /Shift of Site /Station # Party ( )'
White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05