HomeMy WebLinkAbout1210 33RD STREETPrevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST .4.0. s F , 0 900Truxtun Ave., Suite 210
FIRE Bakersfield, CA 93301
SECTION 1: Business Plan and Inventory Program j "RrM r Tel.: (661) 326 -3979
Fax: (661) 872 -2171
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INS ECTION DATE
41-aq-�-i o
INSPECTION TIME
ADDRESS
HONE NO.
NO OF EMPLOYEES
FACILITY CONTACT
3USINESS ID NUMBER
15 -021- DO0 Q30
Section 1:.Business Plan and Inventor ''Program
❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C v c C= Compliance OPERATION
V= Violation
COMMENTS
_/
9( ❑ APPROPRIATE PERMIT ON HAND
4f ❑ BUSII1eSS PLAN CONTACT INFORMATION ACCURATE
❑ VISIBLE ADDRESS
❑ CORRECT OCCUPANCY
❑ VERIFICATION OF INVENTORY MATERIALS y
❑ VERIFICATION OF QUANTITIES
❑ VERIFICATION OF LOCATION
❑ PROPER SEGREGATION OF MATERIAL
❑ VERIFICATION OF MSDS AVAILABILITY
❑ VERIFICATION OF HAZ MAT TRAINING
❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
❑ EMERGENCY PROCEDURES ADEQUATE
❑ CONTAINERS PROPERLY LABELED
❑ HOUSEKEEPING
❑ FIRE PROTECTION
❑ SITE DIAGRAM ADEQUATE & ON HAND
nnr -outs
ANY HAZARDOUS WASTE ON SITE? ES ❑ NO
EXPLAIN:
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