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HomeMy WebLinkAbout4717 KIMBER_HMBP 6.9.10UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program FACILITY NAME Prevention Services �_ F R S F t n 900 Truxtun Ave., Suite 210 FIRE Bakersfield, CA 93301 ARfM Tel.: (661) 326 -3979 Fax: 872 NO OF EMPLOYEES (661) -2171 FACILITY NAME INSPECT/0N DA INSPECTION TIME ❑ Business PLAN CONTACT INFORMATION ACCURATE ADDRESS PHONE NO. NO OF EMPLOYEES k -i�36� 23 - 21 FACILITY CONTACT BUSINESS ID NUMBER ❑ VERIFICATION OF LOCATION 15 -021- Section 1 Businessf Plan andlnventory Program ROUTINE ❑ COMBINED ❑� 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 11 CORRECT OCCUPANCY p, io ❑ VERIFICATION OF INVENTORY MATERIALS ❑ VERIFICATION OF QUANTITIES ❑ VERIFICATION OF LOCATION ❑ PROPER SEGREGATION OF MATERIAL /4M ❑ VERIFICATION OF MSDS AVAILABILITY ❑ VERIFICATION OF HAZ MAT TRAINING El VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES W 6I1 ❑ EMERGENCY PROCEDURES ADEQUATE ❑ CONTAINERS PROPERLY LABELED ❑ HOUSEKEEPING ❑ FIRE PROTECTION ❑ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? ❑ YES 150NO EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 j Inspector (Please Print) Fire Pre ention / 1" In / Shift of ite /Station # Business Site 7Responsible ely kPleasIlPrinfi White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09105