HomeMy WebLinkAbout312 Kentucky Street_HMBP 6.1.10Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST rLARMt _n900 Truxtun Ave.,. Suite 210
Bakersfield, CA 93301
SECTION 1: Business Plan and Inventory Program Tel.: (661) 326 =3979
Fax: (661) 872 -2171
FACILITY NAME INSPECTION DATE INSPECTION TIME
ADDRESS HONE 0. NO OF EMPLOYEES
FACILITY CONTACT BUSI ESS ID NUMBER
MULTI - AGENCY COMPLAINT
15 -021 31b
a
COMMENTS
Section 1 Business Plan and inventory Program
jk' Business s -PLAN CONTACT INFORMATION ACCURATE
J
VISIBLE ADDRESS
ROUTINE COMBINED JOINT AGENCY MULTI - AGENCY COMPLAINT RE- INSPECTION
C v ( C= Compliance) OPERATION
V= Violation
COMMENTS
Li APPROPRIATE PERMIT ON HAND
jk' Businesss -PLAN CONTACT INFORMATION ACCURATE
J
VISIBLE ADDRESS
CORRECT OCCUPANCY
J2- VERIFICATION OF INVENTORY MATERIALS
je- VERIFICATION OF QUANTITIES
yam' VERIFICATION OF LOCATION
PROPER SEGREGATION OF MATERIAL
Sr__11 VERIFICATION OF MSDS AVAILABILITY
K VERIFICATION OF HAZ MAT TRAINING
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
6 —D EMERGENCY PROCEDURES ADEQUATE
4d-- CONTAINERS PROPERLY LABELED
HOUSEKEEPING
FIRE PROTECTION
SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? YES NO
EXPLAIN:
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station #
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05