HomeMy WebLinkAbout1218 STINE RDPrevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST 4�1_,�'N.. 900Truxtun Ave., Suite 210
— -- - - - FIRE Bakersfield, CA 93301
SECTION 1: Business Plan and Inventory Program I �e1rM r Tel.: (661) 326 -3979
L Fax: (661) 872 -2171
FACILITY NAME
V
INSPECTION DATE
INSPECTION TIME
❑
/0
10/5-
ADDRESS
PHONE NO.
NO OF EMPLOYEES
❑
VISIBLE ADDRESS
FACILITY CONTACT
BUSINESS ID NUMBER
❑
15 -021-
Section 1 Business Plan and Inventory Program
❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
V
C= Compliance OPERATION
V= Violation
COMMENTS
❑
APPROPRIATE PERMIT ON HAND
❑
Business PLAN CONTACT INFORMATION ACCURATE
❑
VISIBLE ADDRESS
❑
CORRECT OCCUPANCY
❑
VERIFICATION OF INVENTORY MATERIALS
❑
VERIFICATION OF QUANTITIES
❑
VERIFICATION OF LOCATION
❑
PROPER SEGREGATION OF MATERIAL
❑
VERIFICATION OF MSDS AVAILABILITY
,❑{
CJ
❑
VERIFICATION OF HAZ MAT TRAINING
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
�S
❑
EMERGENCY PROCEDURES ADEQUATE
❑
CONTAINERS PROPERLY LABELED
❑
HOUSEKEEPING
❑
FIRE PROTECTION
❑
SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE?
EXPLAIN:
❑ YES ?No
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
e)R/1rjt.' �SA� ( Pr
Inspector CPleade 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