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HomeMy WebLinkAbout4800 NEW HORIZON BOULEVARD_HMBP 5.3.11�► Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST >, F R s r ,. n 900 Truxtun Ave., Suite 210 FIRE Bakersfield, CA 93301 SECTION 1: Business Plan and Inventory Program I ° ARTM Tel.: (661) 326 -3979 1 Fax: (661) 872 -2171 FACILITY NAME INSPECTION DATE INSPECTION TIME ` s ❑ /03- ADDRES PHONE NO. NO OF EMPLOYEES v FACILITY CONTACT BUSINESS ID NUMBER 15 -021- A'/��l d04. ?b/ I ` "Section 1 Business Planand Inventory.Program ROUTINE ❑ COMBINED ❑ P JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v ( C= Compliance OPERATION V= Violation COMMENTS ❑ APPROPRIATE PERMIT ON HAND ❑ Business PLAN CONTACT INFORMATION ACCURATE ❑ VISIBLE ADDRESS ,,/ JG ❑ CORRECT OCCUPANCY ❑ VERIFICATION OF INVENTORY MATERIALS ❑ VERIFICATION OF QUANTITIES ❑ VERIFICATION OF LOCATION ❑ PROPER SEGREGATION OF MATERIAL 11 E l / 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? ❑ YES X/NO EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 I ector ( e e Print) Fire Prevention / 1" In / Shift of Site /Station # White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05