HomeMy WebLinkAboutHMBP 6/2/2010UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
**W Prevention Services .
B. e R S F I 900 Truxtun Ave., Suite 210
FIRE Bakersfield, CA 93301
D i7RiM Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
INSPEC ION DATE
INSPECTION TIME
❑ a
APPROPRIATE PERMIT ON HAND ` -C"Wa
ADDRESS 9
PHONE NO.
NO OF E OYEES
FACILITY CONTACT
BUSINESS ID NUMBER
`
7
15 -021-
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,Sectwn 1dBuslness�Pian and InventoryrProgram' r
❑ ROUTINE ❑ COMBINED ❑" JOINT AGENCY ❑ MULTI- AGENCY �❑ COMPLAINT 11 RE-INSPECTION
C v
( C= Compliance OPERATION
V= Violation
COMMENTS '
❑ a
APPROPRIATE PERMIT ON HAND ` -C"Wa
I, ❑
Business PLAN CONTACT INFORMATION ACCURATE
❑
VISIBLE ADDRESS
❑
CORRECT OCCUPANCY
❑
VERIFICATION OF INVENTORY MATERIALS
❑
VERIFICATION OF QUANTITIES
/ES' ❑
VERIFICATION OF LOCATION
J❑
PROPER SEGREGATION OF MATERIAL
❑
VERIFICATION OF MSDS AVAILABILITY
❑
VERIFICATION OF HAZ MAT TRAINING
9 -9—
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
u J�
❑
EMERGENCY PROCEDURES ADEQUATE
❑
CONTAINERS PROPERLY LABELED
❑
HOUSEKEEPING
❑ QT�b
FIRE PROTECTION
fii•V �� �; .,- c�v
❑
SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITS? YES RO �G J Z% J
EXPLAIN: —�.�o A, <J i ,� r= i _$ 6 AL
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station # Business Si e / Responsible Party (Please Print)
White - prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05