HomeMy WebLinkAboutHMBP 2018• r 0
••
B JE R S F I D
FIRE
ART T
Prevention Services
900 Truxtun Ave., Suite 210
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
INSPECTION DATE
T11 �4
INSPECTION TIME
a
t a -7
ADDRESS
PHONE NyO�.
NO OF EMPLOYEES
FACILITY CONTACT
BUSINESS ID NUMBER
(S Lcj�') f J C LO U JC, �+
15 -021-
�.4
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
v
C= Compliance) OPERATION
V= Violation
C® M E TS
❑
APPROPRIATE PERMIT ON HAND
❑
Business PLAN CONTACT INFORMATION ACCURATE
❑
VISIBLE ADDRESS
❑
CORRECT OCCUPANCY
I
❑
VERIFICATION OF INVENTORY MATERIALS
1
❑
VERIFICATION OF QUANTITIES
`I
❑
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
vQ c_ani i
ANY HAZARDOUS WASTE ON SITE? ❑ YES �R NO
EXPLAIN:
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
Inspector (Please Print) Fire Prevention / 1s` In / Shift of Site /Station # us n s 4/sponsib le Pa rty (Please Print)
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05