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HomeMy WebLinkAbout800 OAK STREET_HMBP 2.24.10UNIFIED PROGRAM INSPECTION CHECKLIST . . SECTION 1: Business Plan and Inventory Program Prevention Services R _r R s r ,_ ._n 900 Truxtun Ave., Suite 210 FIRE) Bakersfield, CA 93301 D AR1M Tel.: (661) 326 -3979 Fax: (661) 872 -2171 FACILITY NAM INSPECTION DATE INSPECTION TIME Z- L_ e z - z �( -zc�,v ZQ� ADDRESS ��(-- PHONE NO. -5z3- NO OF EMPLOYEES 3 FACILITY CONTACT BUSINESS ID NUMBER 15-021-00-3k:;—(F5 W �� ❑ VERIFICATION OF QUANTITIES �! m.Sectlon 1 Bus ntory Pro "gram 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 ❑ VERIFICATION OF INVENTORY MATERIALS ❑ VERIFICATION OF QUANTITIES r 4AI ❑ VERIFICATION OF LOCATION ❑ PROPER SEGREGATION OF MATERIAL (( 11 ❑ VERIFICATION OF MSDS AVAILABILITY ❑ VERIFICATION OF HAZ MAT TRAINING I� 1 ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES D\ ❑ EMERGENCY PROCEDURES ADEQUATE C ❑ CONTAINERS PROPERLY LABELED ❑ HOUSEKEEPING ❑ FIRE PROTECTION ❑ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARD,O/UUS��WASTE ON $1 E? EXPLAIN: `1" 6& . an YES ❑ NO QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 &m -0) ) t Kl�r? -3_0 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