HomeMy WebLinkAbout911 18TH (2)Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST' t, E R s F , E 900Truxtun Ave., Suite 210
FIRE Bakersfield, CA 93301
SECTION 1: Business Plan and Inventory Program p t" p Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILI NAME INSPECTION ATE INSPECTION TIME
COMMENTS
ADDRESS PHONE NNO. NO OF EMPLOYEES
QLIA
Business PLAN CONTACT INFORMATION ACCURATE
FACILITY CONTACT BUSINESS ID NUMBER
46 15 -oat- ' D11-4
Section 1: Business Plan and Inventory Program
ROUTINE COMBINED JOINTAGENCY MULTI - AGENCY COMPLAINT RE- INSPECTION
7, to
C d C= Compliance OPERATION
V= Violation
COMMENTS
APPROPRIATE PERMIT ON HAND
Business PLAN CONTACT INFORMATION ACCURATE
VISIBLE ADDRESS
CORRECT OCCUPANCY
JO VERIFICATION OF INVENTORY MATERIALS
VERIFICATION OF QUANTITIES
VERIFICATION OF LOCATION
f PROPER SEGREGATION OF MATERIAL
fGY 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
X10,110
ANY HAZARDOUS WASTE ON SITE?
EXPLAIN:
YES p' NO
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
In ector (Please Print) Fire Prevention / 1" In / Shift ofSite /Station # Business Site / Responsible Party (Please Pmt)
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05