HomeMy WebLinkAbout5444 CALIFORNIA AVENUE_HMBP 5.24.111
UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan.and Inventory Program
;&JISW Prevention Services
ER S F1 900 Truxtun Ave., Suite 210
FIRE Bakersfield, CA 93301
D ARTM Tel.: (661) 326 -3979
Fax: '(661) 872 -2171
FACILITY NAME
Mr Cam.,,
INSPECTION DATE
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INSPECTION TIME
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ADDRESS
5 yyy C'A twV\
PHONE N0.
GU I, 322- - 11 G+3�
NO OF EMPLOYEES
I
FACILITY CONTACT
14;94;z 114 1 I� `
BUSINESS ID NUMBER
15 -021- C)
;: Sect+on 1 Bus +Hess Plan Viand 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
❑ 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
❑ EMERGENCY PROCEDURES ADEQUATE
❑ CONTAINERS PROPERLY LABELED
❑ HOUSEKEEPING
❑ FIRE PROTECTION
❑ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE?
EXPLAIN:
❑ YES ❑ NO
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
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Inspector (Please Print) Fire Prevention 11 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