HomeMy WebLinkAbout4920 DISTRICT Boulevard_HMBP 10.28.09UNIFIED PROGRAM INSPECTION CHECKLIST::
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.SECTION 1: Business Plan and Inventory Program
BAKERSFIELD FIRE DEPT
Prevention Services
Truxtun Ave., Suite 210
�wr Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
NSPECTION DATE
INSPECTION TIME
I{JlJ�� /� I S
•��'�
❑ VISIBLE ADDRESS
ADDRESS
PHONE NO. /�
le 71- p o
O OF EMPLOYEES
FACILITY CONTACT
BUSINESS ID NUMBER
15- 021 - 6W 7�7
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
❑ Business PLAN CONTACT INFORMATION ACCURATE
❑ VISIBLE ADDRESS
,PI ❑ CORRECT OCCUPANCY
❑ VERIFICATION OF INVENTORY MATERIALS
❑ VERIFICATION OF QUANTITIES
Ja-�W
❑ VERIFICATION OF LOCATION
�❑ PROPER SEGREGATION OF MATERIAL
❑ VERIFICATION OF MSDS AVAILABILITY
f21 ❑ VERIFICATION OF HAZ MAT TRAINING
❑ VERIFICATION OF ABATEMENT SUPPLIES AND
ROCEDURES
❑ EMERGENCY PROCEDURES ADEQUATE
❑ CONTAINERS PROPERLY LABELED
❑ HOUSEKEEPING
CV ❑ FIRE PROTECTION
2"' ❑ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? �PSYES ❑ NO
EXPLAIN: --1 —) M 1'-/ 1 _— .... - - -- - -- -- -- - - - -- —
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (881) 326 -3879
Inspector (Please Print) Fire Prevention / 1" In / Shift of Site/Station it Z School Site Responsible Parry (Please Print)
White - Prevention Services Yellow - Station Copy Pink - Business Copy FD2049 (Rev. 02105)