HomeMy WebLinkAbout5200 GASOLINE ALLEY_HMBP 6.10.11UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
Prevention Services
a e a s F, 0 900 Truxtun Ave., Suite 210
FIRE Bakersfield, CA 93301
ARrM r Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME r_
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INSPECTION DATE
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INSPECTION TIME
ADDRESS
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O OF EMPLOYEES
1
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FACILITY CONTAqY,
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BUSINESS ID NUMBER
15-021-
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Section 1: Business Plan and Inventory Program
❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT Ok RE- INSPECTION
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C= Compliance OPERATION
V= Violation
COMMENTS
❑
APPROPRIATE PERMIT ON HAND
❑
Business PLAN CONTACT INFORMATION ACCURATE
❑
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
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
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❑
EMERGENCY PROCEDURES ADEQUATE
❑
CONTAINERS PROPERLY LABELED
❑
HOUSEKEEPING
❑
FIRE PROTECTION
❑
SITE DIAGRAM ADEQUATE & ON HAND
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ANY HAZAR-DQU� VgGASTE ONS�TE?
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QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
Inspector (PI; a Print) Fire Prevention / V In / Shift of Site /Station #
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05