HomeMy WebLinkAbout630 4 STREET_HMBP 5.10.10UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
FACILITY NAME
Prevention Services
A F R ,
900 Truxtun Ave., Suite 210
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F /Bakersfield,
CA 93301
ARTel.:
(661) 326 -3979
Fax:
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(661) 872 -2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
ADDRESS
PHONE NO.
O OF EMPLOYEES
FACILITY CONTACT
BUSINESS ID NUMBER
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15 -021-
?Sectioh 1 Business;PIan:and;Inventory Program
❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
V
C= Compliance OPERATION
V= Violation
COMMENTS
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ID/ ❑
APPROPRIATE PERMIT ON HAND
❑
Business PLAN CONTACT INFORMATION ACCURATE
W
❑
VISIBLE ADDRESS
C�
❑
CORRECT OCCUPANCY
❑
VERIFICATION OF INVENTORY MATERIALS
L9'
❑
VERIFICATION OF QUANTITIES
Rf
❑
VERIFICATION OF LOCATION
a
❑
PROPER SEGREGATION OF MATERIAL
ET
❑
VERIFICATION OF MSDS AVAILABILITY
❑
VERIFICATION OF HAZ MAT TRAINING
G/
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
Pf
❑
EMERGENCY PROCEDURES ADEQUATE
❑
CONTAINERS PROPERLY LABELED
V3
❑
HOUSEKEEPING
❑
FIRE PROTECTION
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❑
SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE?
EXPLAIN:
❑ YES eQNO
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
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