HomeMy WebLinkAbout4456 CALIFORNIA AVENUE~ ~ Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST'j A F R S ~,. 0 9oo~ruxtun t~ve., Suite 2~0
.~ _.._.._ _:.._ _.~---~ ~---~~-~ -~ ..~~ ~-._ __._._ ~ _~.~-: ;~ FiRE Bakersfield, CA 93301
SECTION 1: Business Plan and Inventory Program '~ ~ ARTM Tel.: (661) 326-3979
~~ ~ Fa~c: (661) 872-2171
FACILITY NAME
~
~
' INSPECTION DATE
1~.
' INSPECTION TIME
/ S
12~~ GiN~Y 2S
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t SGO ~n~ ; ~ ]
IZ
ADDRESS
~ y0 ~ (,c~ur on1 PHONE NO.
G 31- SSLS O OF EMPLOYEES
FACILITY CONTACT ' BUSINESS ID NUMBER
15-021- ~Q~~(~ ~
~
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
^ ^ BUSIII@SS PLAN CONTACT INFORMATION ACCURATE
^ ^ VISIBLE ADDRESS
^ ^ CORRECT OCCUPANCY ~ V
^ ^ VERIFICATION OF INVENTORY MATERIALS !
^ ^ VERIFICATION OF QUANTITIES
^ ^ VERIFICATION OF LOCATION
^ ^ PROPER SEGREGATION OF MATERIAL
0 ^ VERIFICATION OF MSDS AVAILABILITY ~
^ ^ VERIFICATION OF HAZ MAT TRAINING
^ ^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
^ ^ EMERGENCY PROCEDURES ADEQUATE ~ /
Vi
^ ^ CONTAINERS PROPERLY LABELED ~ /~- I .,
~~ ~ ~
^ ^ HOUSEKEEPING .
^ ^ FIRE PROTECTION
^ ^ SITE DIAGRAM ADEQUATE & ON HAND
V!~
1
ANY HAZARDOUS WASTE ON SITE? IIGYES ^ NO
EXPLAIN: ~ ~ ~~L O/L-
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979
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Inspector (Please Print) Fire Prevention / 1'~ In / Shift of Site/Station # Business Site / Responsible Party (Please Print)
White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05