HomeMy WebLinkAbout800 19 STREET_HMBP 5.27.11UNIFIED PROGRAM INSPECTION CHECKLIST j
SECTION 1: Business Plan and Inventory Programil
4 Prevention Services
B , R s F , 0 900 Truxtun Ave., Suite 210
FIRE Bakersfield, CA 93301
ARTM T Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
Cc, 1l0rj,4
INSPE TION ATE
INSPECTION TIME
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27 � �
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ADDRESS 1q I q*
X600 r�
'HONE NO. ���
2
OOEMPLOYEES
FACILITY CONTACT
'
BUSINESS ID NUMBER
15- 021 - 0 0202
wn V& c,— P,\
&� ❑ VERIFICATION OF QUANTITIES
Section ,1: Business Plan and Inventory Program
❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V C= Compliance OPERATION
V= Violation
COMMENTS
❑ APPROPRIATE PERMIT ON HAND
ig ❑ BUSIneSS PLAN CONTACT INFORMATION ACCURATE
ff ❑ VISIBLE ADDRESS
e ❑ CORRECT OCCUPANCY
0 ❑ VERIFICATION OF INVENTORY MATERIALS
&� ❑ VERIFICATION OF QUANTITIES
❑ VERIFICATION OF LOCATION
® "❑ PROPER SEGREGATION OF MATERIAL
e C1 VERIFICATION OF MSDS AVAILABILITY
R ❑ 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
net -oui e
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO
EXPLAIN:
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -397
N�� 30 2 1 A
Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station #
While — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05