HomeMy WebLinkAbout500 18th Street_HMBP 5.10.10UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory. Program
Prevention Services
R ER s'F I , 0 900 Truxtun Ave., Suite 210
FIRE' Bakersfield, CA 93301
D ARAM Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
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INSPECTION DATE
s 1 o o
INSPECTION TIME
/4'30
ADDRESS
S/'EZ71T
PHONE NO.
NO OF EMPLOYEES
FACILITY CONTACT
L ff OSG /no-cc-q-3 34(,0_ 04Sa 373, -S_9G
BUSINESS ID NUMBER
15 -021-
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Section 1 rpBuslness Plan ",and Inventory Program.: "'
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❑
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❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY
❑ MULTI- AGENCY ❑ COMPLAINT ❑
RE- INSPECTION
C
V
( C= Compliance' OPERATION'
V= Violation
COMMENTS
❑
2A
APPROPRIATE PERMIT ON HAND
09
9 ❑
Business PLAN CONTACT INFORMATION ACCURATE
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❑
VISIBLE ADDRESS
CORRECT OCCUPANCY
❑
VERIFICATION OF INVENTORY MATERIALS,
❑
❑
VERIFICATION OF QUANTITIES
❑
VERIFICATION OF LOCATION
❑
PROPER SEGREGATION OF MATERIAL
❑
VERIFICATION OF MSDS AVAILABILITY
❑
❑
VERIFICATION OF HAZ MAT TRAINING
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❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
❑
EMERGENCY PROCEDURES ADEQUATE
❑
CONTAINERS PROPERLY LABELED
❑
HOUSEKEEPING
❑
FIRE PROTECTION
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❑
SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO
EXPLAIN:
QUESTIONS REGARDING THIS INSPECTION?
PLEASE CALL US AT (661) 326 -3979
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2A
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Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station #
Business Site / Responsible Party (Please Print) -
White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05