HomeMy WebLinkAbout4801 Wilson Road_HMBP 6.8.10UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
B E R S F I D
* FIRE
ANrN r
Prevention Services
900 Truxtun Ave., Suite 210
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACIL3eAyV)*jf%j' NAME
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INSPECTION DATE
$028 0
INSPECTION TIME
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ADDRESS
Algol YJ I I'so rd 4's- C
PHONE NO.
/- W -16-2;0
NO OF EMPLOYEES
3
FACILI;�1YY CONTACT Ceti Q 95-<
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BUSINESS ID NUMBER
15 -021-
Section 1: Business Plan and Inventory Program
❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C v ( C= Compliance OPERATION
V= Violation
COMMENTS
❑ APPROPRIATE PERMIT ON HAND
❑ BUSIt1eSS PLAN CONTACT INFORMATION ACCURATE
❑ VISIBLE ADDRESS
2' ❑ CORRECT OCCUPANCY
❑ VERIFICATION OF INVENTORY MATERIALS
❑ VERIFICATION OF QUANTITIES
❑ VERIFICATION OF LOCATION
❑ PROPER SEGREGATION OF MATERIAL
El"' ❑ VERIFICATION OF MSDS AVAILABILITY
LK ❑ 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? 9'Y* ES ❑ NO
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EXPLAIN: yG.
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
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Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station # u Site / Respon ible arty (Please Print)
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05