HomeMy WebLinkAbout5201 WOODMERE DRIVE_HMBP 3.28.11 RTCUNIFIED PROGRAM INSPECTION- CHECKLIST
SECTION 1: Business Plan and Inventory Program
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Prevention Services
B A e R S F, n
900 Truxtun Ave., Suite 210
FIRE
Bakersfield, CA 93301
v ARTAF
Tel.: (661) 326 -3979
Fax: (661) 872
NO OF EMPLOYEES
-2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
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3— 7S
APPROPRIATE PERMIT ON HAND
ADDRESS
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PHONE NO.. �^
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NO OF EMPLOYEES
FACILITY CONTACT \�
tM 4 ` ��" �—
BUSINESS ID NUMBER
15 -021-
e.l� 8ectlon 1 Bushes§ Planand °Inventory Program
ROUTINE ❑ COMBINED �.e ,• I .T -� �.. M L
❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINTS ❑ RE- INSPECTION
C V
c C= Compliance OPERATION
V= Violation
COMMENTS
j� ❑
APPROPRIATE PERMIT ON HAND
❑
Business PLAN CONTACT INFORMATION ACCURATE
❑
VISIBLE ADDRESS
r* ❑
CORRECT OCCUPANCY
❑
VERIFICATION OF INVENTORY MATERIALS
❑
VERIFICATION OF QUANTITIES
L ❑
V ❑
VERIFICATION OF LOCATION
PROPER SEGREGATION OF MATERIAL
❑
VERIFICATION OF MSDS AVAILABILITY
❑
VERIFICATION OF HAZ MAT TRAINING
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
❑
EMERGENCY PROCEDURES ADEQUATE
❑
CONTAINERS PROPERLY LABELED
❑
HOUSEKEEPING
❑
FIRE PROTECTION
IV V
❑
SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? ES IO
EXPLAIN: VVVV
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QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -39.79
Inspector (Plea le Print) Fire Prevention / 1" In / Shift of Site /Station #
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05