HomeMy WebLinkAbout602 34 STREET_HMBP 4.12.10UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
Prevention Services
JDA E R S F t " n 900 Truxtun Ave., Suite 210
FIRE Bakersfield, CA 93301
jr T M Tel.:. (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
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INS CTIO DATE
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INSPECTION TIME
ADDRESS � , � �
PHONE NO.
NO OF EMPLOYEES
FACILITY CONTACT R Q�\
BUSINESS ID NUMBER
15 -021-
F
ion ,f Plari` and Inventory Program
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ROUTINE El COMBINED ❑ JOINT AGENCY ❑ "MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
V
r 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:
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QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
Inspector (Please Print) Fire Prevention / " 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