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HomeMy WebLinkAbout5801 TRUXTUN Avenue_HMBP 4.28.101 Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST � .- e R s e , a „ 900 Truxtun Ave., Suite 210 » __. _.__ FIRE Bakersfield, CA 93301 SECTION 1: Business Plan'and Inventory Program ° a Tel.: (661) 326 -3979 Fax: (661) 872 -2171 FACILITY NAME INSPECTION DATE INSPECTION TIME ADDRESS S$oI T2tix�,,,, AvE . PHONE NO. �j (o I - 32(4 -octi NO OF EMPLOYEES 35, FACILITY CONTACT '5" BUSINESS ID NUMBER 15 -021- ) 0Cf­ii$'1 Q ❑ CORRECT OCCUPANCY �Sectlon 1 6uslness Plan and Inventory �. ROUTINE ❑ COMBINED ❑ JOINTAGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v ( C= Compliance OPERATION V= Violation COMMENTS ❑ APPROPRIATE PERMIT ON HAND ❑ BUSII1eSS 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? ❑ YES NO EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 �5C --n- -c I l L 6V�V&;K Inspector (Please Print) Fire Prevention / 1" 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