HomeMy WebLinkAbout4613 SIAM COURT_HMBP 12.17.10UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
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* FIRE
ANrM r
Prevention Services
900 Truxtun Ave., Suite 210
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
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ADDRESS
PHONE NO.
NO OF EMPLOYEES
S
5�o -
D
FACILITY CONTACT
BUSINESS ID NUMBER
VISIBLE ADDRESS
15- 021 - (j V -.?J06
L
❑
1�1— ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
v
( C= Compliance OPERATION
V= Violation
COMMENTS
❑
APPROPRIATE PERMIT ON HAND
❑
BUSIfteSS PLAN CONTACT INFORMATION ACCURATE
❑
VISIBLE ADDRESS
m
❑
CORRECT OCCUPANCY
❑
VERIFICATION OF INVENTORY MATERIALS
C�
❑
VERIFICATION OF QUANTITIES
❑
VERIFICATION OF LOCATION
V3
❑
PROPER SEGREGATION OF MATERIAL
❑
VERIFICATION OF MSDS AVAILABILITY
RI
❑
VERIFICATION OF HAZ MAT TRAINING
P
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
Wd
❑
EMERGENCY PROCEDURES ADEQUATE
P1
❑
CONTAINERS PROPERLY LABELED
❑
HOUSEKEEPING
�I
❑
FIRE PROTECTION
r
❑
SITE DIAGRAM ADEQUATE & ON HAND
i wK.1-IN
ANY HAZARDOUS WASTE ON SITE? ❑ YES K_NO
EXPLAIN
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
Sid_,- 1�—n 604&J ST-. 'S 3 Un) A "iCi, C�
Inspector (Please Print) Fire Prevention / f 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