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HomeMy WebLinkAbout6775 H STREET_HMBP 5.25.10UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program FACILITY NAME INSPECTION DATE INSPECTION TIME Prevention Services B R_ S F_I E 900 Truxtun Ave., Suite 210 __D FIRE Bakersfield, CA 93301 v PaRrM r Tel.: (661) 326 -3979 Fax: 872 BUSII1eSS PLAN CONTACT INFORMATION ACCURATE (661) -2171 FACILITY NAME INSPECTION DATE INSPECTION TIME 11 P' ❑ ADDRESS PHONE NO. NO OF EMPLOYEES 4 77 s - S:7� 119-r BUSII1eSS PLAN CONTACT INFORMATION ACCURATE '� o FACILITY CONTACT BUSINESS ID NUMBER VISIBLE ADDRESS 15 -021- Section' 1.I/ Business Plan And Inventory Program: L ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v ( C= Compliance OPERATION V= Violation COMMENTS P' ❑ APPROPRIATE PERMIT ON HAND 13 ❑ BUSII1eSS PLAN CONTACT INFORMATION ACCURATE ,®' ❑ VISIBLE ADDRESS �© ❑ CORRECT OCCUPANCY .E` ❑ VERIFICATION OF INVENTORY MATERIALS i0 ❑ VERIFICATION OF QUANTITIES .❑O ❑ VERIFICATION OF LOCATION , ,E ❑ PROPER SEGREGATION OF MATERIAL /Rr ❑ VERIFICATION OF MSDS AVAILABILITY ,.R ❑ VERIFICATION OF HAZ MAT TRAINING X1!1 ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES �p0 ❑ EMERGENCY PROCEDURES ADEQUATE A ❑ CONTAINERS PROPERLY LABELED aE ❑ HOUSEKEEPING ❑ FIRE PROTECTION ❑ SITE DIAGRAM ADEQUATE & ON HAND nor ou i o ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO EXPLAIN: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 j q�y g����.r -,A Inspector (Please Pri t) Fire Prevention / 1s' 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