HomeMy WebLinkAbout1919 columbus hmbp 3.13.20UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
Prevention Services
B E R S F I D 900 Truxtun Ave., Suite 210
FIRE Bakersfield, CA 93301
�Rriu r Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
'INSPECTION DATE
INSPECTION TIME
ADDRESS
.PHONE NO.
NO OF EMPLOYEES
I Z z_ 7 a
FACILITY CONTACT
BUSINESS ID NUMBER
C �h'�
15- 021
- 0 0 2 Tr(e Q
Section 1: Business Plan and Inventory Program
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
lid ❑
VISIBLE ADDRESS
&�Oel]
CORRECT OCCUPANCY
❑
VERIFICATION OF INVENTORY MATERIALS
❑
VERIFICATION OF QUANTITIES
Ly' ❑
VERIFICATION OF LOCATION
❑
PROPER SEGREGATION OF MATERIAL
❑
VERIFICATION OF MSDS AVAILABILITY
& ❑
VERIFICATION OF HAZ MAT TRAINING
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
1 ❑
EMERGENCY PROCEDURES ADEQUATE
❑
CONTAINERS PROPERLY LABELED
UV'El
HOUSEKEEPING
❑
FIRE PROTECTION
❑
SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? e YtS ❑ NO
EXPLAIN:
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
- s
Inspector (Please Print) Fire Prevention / 1s' In / Shift of Site /Station # Business it(3 /Responsible Party (Please Print)
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05