HomeMy WebLinkAbout1501 R STREETUNIFIED PROGRAM INSPECTION CHECKLIST
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SECTION 1: Business Plan and Inventory Program
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Prevention Services
R F R S e _, ,_„ 900 Truxtun Ave., Suite 210
FIRE Bakersfield, CA 93301
D ARTM Tel.: (661) 326 -3979
Fax: ''(661) 872 -2171
FACILITY N E rr
INSPECTION DATE
INSPECTION TIME
G
-z. 0
( s_
ADDRESS
PHONE NO.
NO OF EMPLOYEES
�S S�
❑ VERIFICATION OF INVENTORY MATERIALS
FACILITY CONTACT /
BUSINESS ID NUMBER
15- 021 - && / ZC"S'
❑ VERIFICATION OF LOCATION
Section 1 Business Planand Inventory Program
ROUTINE ❑ COMBINED . ❑ JOINT AGENCY ❑ MULTI,-AGE �COMPLAINT
ENCY ❑ ❑ RE-INSPECTION
C v c C= Compliance OPERATION
V= Violation
COMMENTS
APPROPRIATE PERMIT ON HAND
-❑ Business PLAN CONTACT INFORMATION ACCURATE
❑ VISIBLE ADDRESS
❑ CORRECT OCCUPANCY
❑ VERIFICATION OF INVENTORY MATERIALS
02/0 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
❑ EMERGENCY PROCEDURES ADEQUATE
❑ CONTAINERS PROPERLY LABELED
❑ HOUSEKEEPING
❑ FIRE PROTECTION
❑ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE N SITE?� Ky ES ❑ NO
EXPLAIN: '1 .4 tf/
QU EST N REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
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Inspec r (P ase Print) Fire Prevention / 1" In / Shift of Site /Station #
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05