HomeMy WebLinkAbout5500 YOUNG STREETPrevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST E E N s F t o 900Truxtun Ave., Suite 210
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FIRE Bakersfield, CA 93301
SECTION 1: Business Plan and Inventory Program I� D ARM r Tel.: (661) 326 -3979
u Fax: (661) 872 -2171
FACILITY NAME
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INSPECTI N DAT
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INSPECTION TIME
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ADDRESS R —
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PHONE O.
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O OF EMPLOYEES
FACILITY CONTACT
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BUSINESS ID NUMBER
15 -021 -'l MP Z'
section 1: Business Plan and Inventory Program
OUTINE ❑ 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
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❑ VISIBLE ADDRESS
❑ CORRECT OCCUPANCY
❑ VERIFICATION OF INVENTORY MATERIALS
❑ VERIFICATION OF QUANTITIES
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❑ VERIFICATION OF LOCATION
❑ PROPER SEGREGATION OF MATERIAL
x❑ 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 /
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
Inspector (Please Print) Fire Prevention / ft In / Shift of Site /Station #
White – Prevention Services Yellow - Station Copy Pink – Business Copy FD 2155 (Rev. 09/05