HomeMy WebLinkAbout1112 20 STREETUNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program j
B E R S F I D
FIRE
ARTM T
Prevention Services
900'IYuxtun Ave., Suite 210
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FA ITY NAME
`
INSPE TION D TE
INSPECTION TI
n er �1'Ca (�e
S I/
11 I
ADDRESS -�
PHO ENO.
O OF EMPLOYEES
1112,
❑
FACILI CO NT CT
1e M
BUSINESS ID NUMBER
15-021-00072 y
.c'
C v ( C= Compliance OPERATION
V= Violation
COMMENTS
❑ APPROPRIATE PERMIT ON HAND
�2'
L 7❑ Business PLAN CONTACT INFORMATION ACCURATE
M-' ❑ VISIBLE ADDRESS
Section
1 ppsi,ness Plan and, lnventory Program
❑ ROUTINE
❑
COMBINED ❑
JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT
❑ RE- INSPECTION
C v ( C= Compliance OPERATION
V= Violation
COMMENTS
❑ APPROPRIATE PERMIT ON HAND
�2'
L 7❑ Business PLAN CONTACT INFORMATION ACCURATE
M-' ❑ VISIBLE ADDRESS
9"_ 11 CORRECT OCCUPANCY
❑ VERIFICATION OF INVENTORY MATERIALS
B / ❑ VERIFICATION OF QUANTITIES
❑ VERIFICATION OF LOCATION
T ❑ PROPER SEGREGATION OF MATERIAL
lt3" / ❑ VERIFICATION OF MSDS AVAILABILITY
❑ VERIFICATION OF HAZ MAT TRAINING
❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
L?*- ❑ EMERGENCY PROCEDURES ADEQUATE
❑ CONTAINERS PROPERLY LABELED
❑ HOUSEKEEPING
El' ❑ FIRE PROTECTION
❑ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE?
EXPLAIN
❑ YES Er-f O
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
LL 7
h t M M —W--50-2—
Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station # iness Site Responsible Party (Please t)
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05