HomeMy WebLinkAbout6001 TRUXTUN Avenue _HMBP 4.28.10UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
Prevention Services
R r R S F , . „ 900 Tiuxtun Ave., Suite 210
FIRE Bakersfield, CA 93301
v ARTM r, Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
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INSPECTION DATE
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INSPECTION TIME
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❑ BUSIIIeSS PLAN CONTACT INFORMATION ACCURATE
ADDRESS
RVt'
PHONE NO.
Lo cel_�z�.
NO OF EM OYEES
FACILITY CO TACT
BUSINESS ID NUMBER
15 -021-
❑ VERIFICATION OF QUANTITIES
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Section 1 , eBuslnessg Plan and Invento Pro
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT 11 RE-INSPECTION
C v ( C= Compliance` OPERATION
V= Violation
COMMENTS
❑ APPROPRIATE PERMIT ON HAND
❑ BUSIIIeSS 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: %.��5�� �/x F� re...,j 5e Y e• yo.T<
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 #
White — Prevention Services Yellow - Station Copy Pink — Business Copy
1
le / Respo ' I Pa lease Prin
FD 2155 (Rev. 09/05