HomeMy WebLinkAbout6218 Sundale Avenue_HMBP 6.25.10Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST
� B . E _s s F_, _ , 0 900 Truxtun Ave., Suite 210
-- ---- = = =~— �'" FIRE Bakersfield, CA 93301
SECTION 1: Business Plan and Inventory Program: ° "R'M 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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ADDRESS / � �
PHONE NO.
NO OF EMPLOYEES
FACILITY CONTAC
BUSINESS ID NUMBER
Y15-021
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Fj Section 1Buslness Plan:and Inventory Program 4
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ROUTINE ❑ COMBINEDtl ❑ \ JOINT AGENCY 11. MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C v c C= Compliance OPERATION
V= Violation
COMMENTS
❑ APPROPRIATE PERMIT ON HAND
❑ BUSIneSS PLAN CONTACT INFORMATION ACCURATE
❑ VISIBLE ADDRESS
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❑ CORRECT OCCUPANCY
1? ❑ VERIFICATION OF INVENTORY MATERIALS
rj ❑ 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/
`/ ��^ �, .i.�Jf �c/o T
,f ❑ HOUSEKEEPING
❑ V7 FIRE PROTECTION
ffio ❑ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE S'N SITE?
EXPLAIN: L /
P:%YES ❑ NO
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QUES7y,�So EGARDING THIS INSPECTION? PLEASE CALL US AT (667) 326 -3979
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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