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HomeMy WebLinkAbout4501 DISTRICT BOULEVARD_HMBP 4.28.11UNIFIED PROGRAM INSPECTION CHECKLIST' SECTION 1.: Business Plan and Inventory Program FACILITY NAME Prevention Services A p R S r I ,_, 900 Truxtun Ave." Suite 210 FIRE Bakersfield, CA 93301 ARTM Tel.: (661) 326 -3979 ' 872 O OF EMP YEES Fax: (661) -2171 FACILITY NAME INSPECT N DA INSPECTION TIME �0 2--b Business PLAN CONTACT INFORMATION ACCURATE ADDRESS' DDRES � PH NE O. O OF EMP YEES �_� / � / � � FACILITY CONTACT BUSINESS ID NUMBER 15- 021- d4SZ�fl,5�' ��,� Y 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 r' El APPROPRIATE PERMIT ON HAND �0 2--b Business PLAN CONTACT INFORMATION ACCURATE IPA' VISIBLE ADDRESS /❑ L�7 ❑ CORRECT OCCUPANCY ❑ VERIFICATION OF INVENTORY MATERIALS ❑ VERIFICATION OF QUANTITIES ❑ VERIFICATION OF LOCATION Y ❑ 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 ❑ HOUSEKEEPING ❑ FIRE PROTECTION ❑ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? OYES ❑ NO EXPLAIN: AA)!l "f r OLC , Wf OTa/2 d I I 0 QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 Inspector (Please Print) Fire Prevention / 1°f In / Shift of Site /Station # White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05