HomeMy WebLinkAboutHMBP INSP 11.1.17D� Prevention Services
Ut�ll`FIED P'.ROGR;AIVI ,INSPECT-lON C ECKI_I'ST $ F ,, 900 Truxtun Ave:, `suite 210
-
4
FIRE Bakersfield, CA 93301
SECTION 1 Business Plan and Inventory Progra '" 1 �' ti ,�Rr�► Tel.: (661) 326 -3979
X Fax; (661) 872 -21.71
FACILITY. NAME
INSPECTION DATE
INSPECTION TIME
I , .
i� j_ r rlr;.i�a
/ ) t /
/ { ,. 7
/
ADDRESS
PHONE NO.
NO OF EMPLOYEES
/
FACILITY CONTACT
BUSINESS ID NUMBER
15- 021 -C),/o
�.. ., x. .; a ". -. . ,: .::� , ,} ..., .'f✓.o .:'a
ee ,... .'r .•K;'. 4. �... ':: ..., �. r <; 9x.., .,. 3. . ». :::e, :'^,.,_..
■■
+>s£,
Y r.' -.. �., ,.t �.. n,.,,y. r.c. ,. >'..,..z.
�.,..<,. ? ; " „. ... .... -s ../� „ , , : YT. , :. :.
eH 3... '::e . r,. ..:. cas 5 .. w x �. d. n 3
' !> � A,A .:..:., r .,+ :.! ��,. fit' £:. rr � ,
•.�' :: 'L � :':� E.,.� �...,t ... >..3 .,�
❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY
❑ COMPLAINT ❑ RE- INSPECTION
C V ( C =Compliance) OPERATION
COMMENTS
V= Violation
"APPROPRIATE PERMIT ON HAND
. ❑ Business PLAN CONTACT INFORMATION ACCURATE-
❑ VISIBLE ADDRESS
P/ ❑ CORRECT OCCUPANCY
€�'"�
❑ VERIFICATION OF.'INVENTORY MATERIALS
.' ❑ VERIFICATION OF QUANTITIES
El VERIFICATION ..OF LOCATION
_❑ PROPER.-SEGREGATION OF MATERIAL
D” 0 VERIFICATION OF MSDS AVAILABILITY
❑ VERIFICATION OF HAZ MAT TRAINING
Ur ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
r
.. ❑ EMERGENCY PROCEDURES ADEQUATE
❑° ❑ CONTAINERS PROPERLY LABELED
Ea/ ❑ HOUSEKEEPING
❑/ ❑ FIRE PROTECTION
D' ❑ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? rYES ❑ NO
``� ".
EXPLAIN: te' - -''Z_ —rV l - & /
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
A ;
Inspector (Please Print) Fire Prevention / fit In / Shift of Site /Station # Business Site /Respo�e Party (Please Print)
White — Prevention Services Yellow.- Station Copy Pink — Business Copy FD 2155 (Rev. 09/05