HomeMy WebLinkAbout2960 mt vernon cvs hmbp 6.4.20UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
Prevention Services
H S F I o 900 Truxtun Ave., Suite 210
FIRE Bakersfield, CA 93301
fA;JR h r Tel.: (661) 326 -3979
0* Fax: (661) 872 -2171
FACILITY NAME
ADDRESS
INSPECTION DATE
PHONE NO.
7Z - -7
INSPECTION TIME
NO OF EMPLOYEES
Z Z
FACILITY CONTACT /
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BUSINESS ID NUMBER
15-021 -
Section 1: Business Plan and Inventory Program
❑
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY
❑ COMPLAINT ❑ RE- INSPECTION
C
V
r C= Compliance OPERATION
l V= violation
COMMENTS
Er ❑ APPROPRIATE PERMIT ON HAND
IDI ❑ Business PLAN CONTACT INFORMATION ACCURATE
Ea
❑
VISIBLE ADDRESS
Q1
❑
CORRECT OCCUPANCY
❑
VERIFICATION OF INVENTORY MATERIALS
❑
El
❑
❑
VERIFICATION OF QUANTITIES
VERIFICATION OF LOCATION
❑
PROPER SEGREGATION OF MATERIAL
D
❑
VERIFICATION OF MSDS AVAILABILITY
❑
❑
❑
VERIFICATION OF HAZ MAT TRAINING
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
D
El
❑
❑
EMERGENCY PROCEDURES ADEQUATE
CONTAINERS PROPERLY LABELED
❑
HOUSEKEEPING
❑
❑
FIRE PROTECTION
C7f
❑
SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO
EXPLAIN:
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
i 1.� t l r Z S a
Inspector (Please Print) Fire Prevention / 1s' In / Shift of Site /Station #
White - Prevention Services Yellow - Station Copy
YN x ......
Business Site / Responsible Party ( lease Print)
Pink — Business Copy
FD 2155 (Rev. 09/05