HomeMy WebLinkAbout5601 DISTRICT Boulevard_HMBP 4.12.10UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
Prevention Services
R E' R s n 900 Truxtun Ave., Suite 210
FIRE Bakersfield, CA 93301
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v Tel.: (661) 326 -3979
Fax: (661)'872-2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
1'c�LSrs� l,Uvo� 2t5_ vZ+vC,
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ADDRESS
PHONE NO.
NO OF EMPLOYEES
5,60 I �s-t�•z� -r 3�v ►�.
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FACILITY CONTACT
BUSINESS ID NUMBER
Gil S � �; •�•s -��,Z.
15- 021 - OU0574 7Z
`� Section 1;: Business -Flan ani linveritory Pr =ogram
U— ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
v
= Compliance) OPERATION
V= Violation
COMMENTS
�.
❑
APPROPRIATE PERMIT ON HAND
15T-
❑
Business PLAN CONTACT INFORMATION ACCURATE
5-
❑
VISIBLE ADDRESS
14
❑
CORRECT OCCUPANCY
%L
❑
VERIFICATION OF INVENTORY MATERIALS
IS
❑
VERIFICATION OF QUANTITIES
t�
❑
VERIFICATION OF LOCATION
VL
❑
PROPER SEGREGATION OF MATERIAL
I�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
�J
❑
SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? YES ❑ NO
EXPLAIN: �G WAi C->= _ d-- Lw / A f T-r r :C L AS O fy ZSS T
ST-TE- ;lv�/4T }';LSALS_
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
D�VA y o,.,nJ S T. 13
Inspector (Please Print) Fire Prevention / P` 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