HomeMy WebLinkAbout600 COFFEE Road _HMBP 6.22.101
Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST ,R , 900`Iruxtun Ave.,. Suite 210
SECTION 'I '. Bu iIRE Bakersfield, CA 93301
° a R rM Tel.: (661) 326 -3979
siness Plan and Inventory Program
Fax: (661) 872 -2171
FACILITY NAME \
INSPECTION DATE
INSPECTION TIME
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ADDRESS ( (�
PHONE NO.
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NO OF EMPLOYEES
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FACILITY CO p4V T "t l �o
BUSINESS ID NUMBER
15- 021 -
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Sectlon' 1 Business Plan and`Inven'" "tort' Program-
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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? YES ❑ ND
EXPLAIN:
QUESTIONS RECGARDING THIS INSPECTION? PLEASE CALL Us AT (661) 326 -3979
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Inspector (Please Print) Fire Prevention / 1s' In / Shift of Site /Station # i es Site / Responsi t Pa (Please rint)
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05