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HomeMy WebLinkAbout629 WHITE LANE_HMBP 12.17.10UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program Prevention Services 4�*._' F, 0 900 Truxturt Ave., Suite 210 FIRE Bakersfield, CA 93301 ARrM r Tel.: (661) 326 -3979 Fax: (661) 872 -2171 FACILITY NAME W S) j INSPECTI N DA E Z INSPECTION TIME AD RESS W PHONE N0. NO OF EMPLOYEES F CILITY CONTACT BUSINESS ID NUMBER 15- 021 -60cq o Section '1: Business Plan and Inventory Program ❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v C= Compliance OPERATION V= Violation COMMENTS © ❑ APPROPRIATE PERMIT ON HAND O ❑ Business PLAN CONTACT INFORMATION ACCURATE 0' ❑ VISIBLE ADDRESS I*r ❑ CORRECT OCCUPANCY a ❑ VERIFICATION OF INVENTORY MATERIALS ❑ VERIFICATION OF QUANTITIES 12r ❑ VERIFICATION OF LOCATION Q- ❑ PROPER SEGREGATION OF MATERIAL 0 ❑ VERIFICATION OF MSDS AVAILABILITY ❑ VERIFICATION OF HAZ MAT TRAINING ICY ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES IT ❑ EMERGENCY PROCEDURES ADEQUATE ❑ CONTAINERS PROPERLY LABELED [' ❑ HOUSEKEEPING Ir ❑ FIRE PROTECTION C3 ❑ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? ❑ YES EI'NO EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 2)" AN '�D u N 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