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HomeMy WebLinkAbout711 19TH_HMBP 4.21.10n UNIFIED PROGRAM INSPECTION CHECKLIST�� SECTION 1: Business Plan and Inventory Program FACILITY NAME +rte Prevention Services B E R S F I _D 900 71ruxtun Ave., Suite 210 FIRE Bakersfield, CA 93301 A RrM M r Tel.: (661) 326 -3979 % Fax: (661) 872 -2171 FACILITY NAME +rte INSPECTION DATE /_ al_ zalD INSPECTION TIME /3�0 ADDRESS PHONE NO. NO OF EMPLOYEES '7/t — / T k 323 -7ry % FACILITY CONTACT BUSMESS ID NUMBER 15 -021- 0 VISIBLE ADDRESS "Section 1: Business Plan.and Inventory Program Rr ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v ( C= Compliance OPERATION V= Violation COMMENTS ❑ APPROPRIATE PERMIT ON HAND ❑ Business PLAN CONTACT INFORMATION ACCURATE ❑ VISIBLE ADDRESS ❑ CORRECT OCCUPANCY I�J ❑ VERIFICATION OF INVENTORY MATERIALS ❑ VERIFICATION OF QUANTITIES ❑ VERIFICATION OF LOCATION ❑ PROPER SEGREGATION OF MATERIAL C� ❑ 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: ❑ YES jZ/NO QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 - 3979 Af AP_1;4-S Inspector (Please Print) Fire Prevention / I" In / Shift of Site /Station # Business Site / Resp nsible Party (Please Print) White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05