HomeMy WebLinkAbout4580 CALIFORNIA AVENUE _HMBP 5.25.10UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
41111111111w Prevention Services
A E, R S F t D 900 Truxtun Ave., Suite 210
FIRE Bakersfield, CA 93301
D a R rM Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
COMMENTS
INSPECTI N DA T
INSP CTION TIME
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ADDRESS
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2
Q OF o LOYEES
FACILITY CONTA
❑ VERIFICATION OF INVENTORY MATERIALS
BUSINESS ID NUMBER
15- 021 - 014 80
Section 1 Business Plan:and Inventory Program.
ROUTINE ❑ COMBINED 0 J e
JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C v c C= Compliance OPERATION
V= Violation
COMMENTS
❑ APPROPRIATE PERMIT ON HAND
❑ Business PLAN CONTACT INFORMATION ACCURATE
❑ VISIBLE ADDRESS
❑ CORRECT OCCUPANCY
❑ VERIFICATION OF INVENTORY MATERIALS
Fib ❑ VERIFICATION OF QUANTITIES
❑ VERIFICATION OF LOCATION
❑ 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 HAZ__f JCA,�Ti ITE?
EXPLAIN: hlj�/�wvff �(j{j{..,�
❑ NO
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
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Inspector (Please Print) Are Prevention / 1" In / Shift of Site /Station # Business / 5Resp s ibl�Party as e Print)
White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05
UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION.1: Business Plan and Inveptory Program
Prevention Services
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E-11- s F _,_ 0 900 Truxtun Ave., Suite 210
FIRE Bakersfield, CA 93301 -
c aRrM Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
COMMENTS
INSPE ION TE
05 10110
INSPECTION TIME
36 MO _
ADDRESS J�
U
1
�JO._
[^ID
O OF E LOYEES
FACILITY CONT
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BUSINESS NUMBER
15 -021- DV� 14
, 1 1i aI l, 0-0', W""I'MR Section 1 Business :Plan and inventory
NINE 1111
Program
.s:: _ ..
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C v ( C= Compliance OPERATION
V= Violation
COMMENTS
❑ APPROPRIATE PERMIT ON HAND
❑ BUSIf1eSS PLAN CONTACT INFORMATION ACCURATE
❑ VISIBLE ADDRESS
❑ CORRECT OCCUPANCY
❑ VERIFICATION OF INVENTORY MATERIALS
❑ VERIFICATION OF QUANTITIES
❑ VERIFICATION OF LOCATION
❑ 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
r
❑ SITE DIAGRAM ADEQUATE & ON HAND
1
ANY HAZARDOUS WASTE ON SITE?
EXPLAIN:
❑ YES WNO.
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALLUS AT (661) 326 -3979
h
Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station #
White — Prevention Services Yellow - Station Copy_ Pink — Business Copy FD 2155 (Rev. 09/05