HomeMy WebLinkAbout1401 21 STREETUNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
8 E R S F I D
FIRE
ARTM r
Prevention Services
900 Truxtun Ave., Suite 210
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FA ITY NAM ^`
�.,\,,
INSPE TION ATE
INSPECTION TIME
i (tre
i 27 ,1
/I -ryo
ADDR 1
yo1 q'1 �
PHONE NO.
a7- -J�'9Z1
NO OF EM LOYEES
FACILITY CONT T
�//��,�
BUSINESS ID NUMBER
15- 021 - Coo c. -7
O u V I G1* (It Z
0/0 VERIFICATION OF QUANTITIES
V
.,,Section 1: Business no Ipvento[y Program
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C v \ C= Compliance OPERATION
V= Violation
COMMENTS
,,,/
I(S ❑ APPROPRIATE PERMIT ON HAND
❑ Business PLAN CONTACT INFORMATION ACCURATE
❑ VISIBLE ADDRESS
9�--_❑ CORRECT OCCUPANCY
❑ VERIFICATION OF INVENTORY MATERIALS
0/0 VERIFICATION OF QUANTITIES
Er VERIFICATION OF LOCATION
E/❑
PROPER SEGREGATION OF MATERIAL
�C,If❑
L7 ❑ VERIFICATION OF MSDS AVAILABILITY
❑ VERIFICATION OF HAZ MAT TRAINING
❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
❑ EMERGENCY PROCEDURES ADEQUATE
❑ CONTAINERS PROPERLY LABELED
qf' ❑ HOUSEKEEPING
❑ FIRE PROTECTION
❑ SITE DIAGRAM ADEQUATE & ON HAND
nnrrouia
ANY HAZARDOUS WASTE ON SITE? it YES ❑ NO
EXPLAIN
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
Lo-1
Inspector (Please Print) Fire Prevention / ft 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