HomeMy WebLinkAbout730 34TH STREET_HMBP 6.16.10UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
�► Prevention Services
B A F R S r t o 900 Truxtun.Ave., Suite 210
FIRE Baketsfield, CA 93301
D ARTM Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
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INSPECTION ATE
.41�1 -1 1 �67
INSPECTION TIME
ADDRESS
731 3S/
PHONE NO.
,27 - -7W
NO OF EMPLOYEES
/;w
FACILITY CONTACT
DClo :►� GiSi�
BUSINESS ID NUMBER
15- 021 - 60o
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Section Business Plan and Inventory Program P , Aw, 4
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C v C= Compliance OPERATION
V= Violation
COMMENTS
❑ ' t1 r APPROPRIATE PERMIT ON HAND
❑ $- Business PLAN CONTACT INFORMATION ACCURATE
0-'❑ VISIBLE ADDRESS
0--'❑ CORRECT OCCUPANCY
Lf7'L7 VERIFICATION OF INVENTORY MATERIALS
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LB-__0 VERIFICATION OF QUANTITIES
L7 ❑ VERIFICATION OF LOCATION
E '_❑ PROPER SEGREGATION OF MATERIAL
❑ VERIFICATION OF MSDS AVAILABILITY
.❑ VERIFICATION OF HAZ MAT TRAINING
21<1 VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
Er ❑ EMERGENCY PROCEDURES ADEQUATE
❑ CONTAINERS PROPERLY LABELED
❑ HOUSEKEEPING
❑ FIRE PROTECTION
❑ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? ❑ YES a'NO
EXPLAIN:
QUESTI NS 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 #
White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05