HomeMy WebLinkAbout300 GOLDEN STATE AVENUE~
UNIFIED PROGRAM INSPECTION CHECKLIST3~
---~----- =-~ _= __ _ __m_~~ --- -
SECTION 1: Business Plan and Inventory Program .;~
u
~
e sesr~ n
FIRE
D ARTM
~
Prevention Services.
900 Truxtun Ave., Suite 210
Bakersfield, CA 93301
Tel.: (661) 326-3979
Fax: (661) 872-2171
FACILITY NAME
/ o~ ~~K~~S'F~~c'cp
~o
{~v~oti~ S~PPc INSPECTION DATE
! INSPECTION TIME
S
~
.~ 7 o
ADDRESS ~OO / G~~~~ ~~L C
~7 PH NE 0. NO OF EMP~OYEES
~
FACILITY CONTACT BUSINESS ID NUMBER
15-021-~~(7?
Section 1: Business Plan and Inventory Program
ROUTINE ^ COMBINED. ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION
C V ( c=~omP~iance~ OPERATION
V=Violation COMMENTS
~ ^ APPROPRIATE PERMIT ON HAND
I~ ^ BUSIII@SS PLAN CONTACT INFORMATION ACCURATE
L~
/ ^ VISIBLE ADDRESS
L~I ^ CORRECT OCCUPANCY
~
1• ^ VERIFICATION OF INVENTORY MATERIALS
~ ^ VERIFICATION OF QUANTITIES
IRI
r O VERIFICATION OF LOCATION
~ ~ PROPER SEGREGATION OF MATERIAL
~ ^ VERIFICATION OF MSDS AVAILABILITY
~ ^ VERIFICATION OF HAZ MAT TRAINING
L~ ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
~ ^ EMERGENCY PROCEDURES ADEQUATE
~j ^ CONTAINERS PROPERLY LABELED
^ HOUSEKEEPING
C~
~ ^ FIRE PROTECTION
^ SITE DIAGRAM ADEQUATE & ON HAND
/
ANY HAZARDOUS WASTE ON SITE?
EXPLAIN:
^ YES ~ NO
QUESTIONS REGARDING THIS INSPECTION? PIEASE CALL US AT (661) 326-3979
PAu~. L~ ~-c~ ~~~ z- ~'~ ,
Inspector (Please Print) Fire Prevention / 1" In / Shift of Site/Station # ,
White - Prevention Services Yellow - Stalion Copy Pink - Business Copy FD 2155 (Rev. 09/OS