HomeMy WebLinkAbout1600 D StreetPrevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST B e R s F , 0 900Truxtun Ave., Suite 210
-- - - - -- — — - - --
FIRE Bakersfield, CA 93301
SECTION 1: Business Plan and Inventory Program ARFM ' Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
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INSPECTION DATE
INSPECTION TIME
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0
ADDRESS
HONE NO.
NO OF EMPLOYEES
ET ❑ VERIFICATION OF INVENTORY MATERIALS
FACILITY CONTACT
USINESS ID NUMBER
13' ❑ VERIFICATION OF LOCATION
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
a ❑ APPROPRIATE PERMIT ON HAND
Q� ❑ BUSIneSS PLAN CONTACT INFORMATION ACCURATE
❑ VISIBLE ADDRESS
❑ CORRECT OCCUPANCY
ET ❑ VERIFICATION OF INVENTORY MATERIALS
2r ❑ VERIFICATION OF QUANTITIES
13' ❑ VERIFICATION OF LOCATION
❑ PROPER SEGREGATION OF MATERIAL
Ck ❑ VERIFICATION OF MSDS AVAILABILITY
C�" ❑ VERIFICATION OF HAZ MAT TRAINING
0' ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
12' ❑ EMERGENCY PROCEDURES ADEQUATE
❑ CONTAINERS PROPERLY LABELED
�} ❑ HOUSEKEEPING
21 ❑ FIRE PROTECTION
Ef ❑ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? ❑ YES 2_-�O
EXPLAIN:
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
Ins ire Prevention / 1" In / Shift of Site /Station #
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White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05