HomeMy WebLinkAbout1222 30TH StreetUNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
Prevention Services
B B_ R s F 1_ _ 0 900 Truxtun Ave., Suite 210
FIRE Bakersfield, CA 93301
ARFM T Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
ADDRESS
PHONE NO.
NO OF EMPLLOYEES
❑
FACILITY CONTACT
BUSINESS ID NUMBER
15 -021- 044V 7
Section 1 Baus�ness Plari.and, inventory Program
ROUTINE 0 COMBINED ❑ JOINTAGENCY _ ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
v
c C= Compliance OPERATION
V= Violation
COMMENTS
J
❑
APPROPRIATE PERMIT ON HAND
❑
Business PLAN CONTACT INFORMATION ACCURATE
❑
VISIBLE ADDRESS
2(
oe
❑
CORRECT OCCUPANCY
Cf
❑
VERIFICATION OF INVENTORY MATERIALS
❑
VERIFICATION OF QUANTITIES
❑
VERIFICATION OF LOCATION
d
❑
PROPER SEGREGATION OF MATERIAL
2
❑
VERIFICATION OF MSDS AVAILABILITY
9
❑
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
KBF -6013
ANY HAZARDOUS WASTE ON SITT/? ES 11 NO
EXPLAIN: a/�X-pe ;7;0
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 4
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