HomeMy WebLinkAbout6501 TRUXTUN Avenue_HMBP 4.23.10UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1:.; Business Plan and Inventory Program
Prevention Services
R F R S F t .„ 900 Truxtun Ave., Suite. 210
FIRE Bakersfield, CA 93301
D ARTM Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
ter, C ��..>`►„s', vC 00 1 Ca v%c
INSPECTION DATE
INSPECTION TIME
ADDRESS
b50► T
PHONE NO.
L4 I - <i (° ,2 -$>
NO OF EMPLOYEES
-7 X85!
FACILITY CONTACT
Gr�ct .r VC
BUSINESS ID NUMBER
15 -021- j Ot5(A g87
G
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a � t
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p
L
ROUTINE ■ COMBINED ■ JOINT AGENCY ■ COMPLAINT ■ RE-INSPECTION
C
v
( C= Compliance OPERATION
V= Violation
COMMENTS
❑
APPROPRIATE PERMIT ON HAND
❑
BUSIf1eSS 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?
EXPLAIN: Y C' 3 k, -)
YES ❑ NO
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
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Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station # Busi ss Site / e po ibl rty (Ple se Print)
White - Prevention Services Yellow - Station Copy I Pink - Business Copy FD 2155 (Rev. 09/05