HomeMy WebLinkAbout410 E PLANZ RD `►'' Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLISTI, ,� 900 Truxtun Ave., suite 210
FIRE Bakersfield, CA 93301
SECTION 1 : Business Plan and Inventory Program aRrM r Tel.: (661) 326-3979
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Fax: (661) 372-2171
FACILITY NAME INSPECTION DATE INSPECTION TIME
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ADDRESS PHONE NO. NO OF EMPLOYEES
4 t g-61-0034-69-74)
FACILITY CONTACT BUSINESS ID NUMBER
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15-021-0019 f'3
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ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI-AGENCY ❑ COMPLAINT ❑ RE-INSPECTION
C V ( c=Compliance)� OPERATION
COMMENTS
V=Violation
❑ APPROPRIATE PERMIT ON HAND
112/0 Business PLAN CONTACT INFORMATION ACCURATE
❑ VISIBLE ADDRESS
❑ CORRECT OCCUPANCY
❑ VERIFICATION OF INVENTORY MATERIALS
❑ VERIFICATION OF QUANTITIES
❑ VERIFICATION OF LOCATION
❑ PROPER SEGREGATION OF MATERIAL
❑ VERIFICATION OF MSDS AVAILABILITY
❑ VERIFICATION OF HAZ MAT TRAINING
❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
Ll ❑ EMERGENCY PROCEDURES ADEQUATE
❑ CONTAINERS PROPERLY LABELED
❑ HOUSEKEEPING
❑ FIRE PROTECTION
❑ SITE DIAGRAM ADEQUATE&ON HAND
KBD-iOl 3
ANY HAZARDOUS WASTE ON SITE? ❑YES NO
EXPLAIN:
QUESTIONS 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# sines Ate/Responsible Party(Please Print)
White—Prevention Services Yellow-Station Copy Pink—Business Copy FD 2155 (R v.09/05