HomeMy WebLinkAbout4698 American Avenue_HMBP 5.25.10UNIFIED PROGRAM INSPECTION CHECKLIST Prevention Services
B R S F , 0 900 Truxtun Ave., Suite 210
- - -� — — FIRE Bakersfield, CA 93301
SECTION 1: Business Plan and Inventory Program ARTM r Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME ;�
Lot 10'n
INSPECTION DATE
INSPECTION TIME
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ADDRESS
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PHONE NO.
Ca31 -6g l
NO OF EMPLOYEES
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❑ VERIFICATION OF INVENTORY MATERIALS
FACILITY CONTACT '
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BUSINESS ID NUMBER
15 -021-
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Section k1. Buslness`.Plan andInyentory Progra °m:
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C v c C= Compliance OPERATION
V= Violation
COMMENTS
❑ APPROPRIATE PERMIT ON HAND
❑ - BUSIt1eSS PLAN CONTACT INFORMATION ACCURATE
❑ VISIBLE ADDRESS
❑ CORRECT OCCUPANCY
❑ VERIFICATION OF INVENTORY MATERIALS
❑ VERIFICATION OF QUANTITIES
❑ VERIFICATION OF LOCATION
�d ❑ PROPER SEGREGATION OF MATERIAL
H ❑ VERIFICATION OF MSDS AVAILABILITY
11 VERIFICATION OF HAZ MAT TRAINING
/
El ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
El""' ❑ EMERGENCY PROCEDURES ADEQUATE
❑ CONTAINERS PROPERLY LABELED
❑ HOUSEKEEPING
❑ FIRE PROTECTION
❑ SITE DIAGRAM ADEQUATE & ON HAND
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ANY HAZARDOUS WASTE ON SITE? ❑ YES YN O
EXPLAIN:
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
Q. !Si0 C11 .11 *?6
Inspector (Please Print) Fire Prevention / 151 In / Shift of Site /Station #
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05