HomeMy WebLinkAbout1612 BRUNDAGE LNUNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: . Business Plan and Inventory Program
B A r; R S F I E D
FIRE
JD ARTM
Prevention Services
900 Truxtun Ave., Suite 210
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME 1
K`H S YO-o < L�� S 14
INSPECTION DATE
INSPECTION TIME
1 -0
j� <STeiz-
- 2b I o
o
ADDRESS
44 � �5 X33
PHONE NO.
o )q!50
O OF EMPLOYEES
FACILITY CONTACT
BUSINESS ID NUMBER
15-021 -
Mimi Section 1: jBuflit e ss Plan and Inventory P[ogram
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
v
( C= Compliance) OPERATION
V= Violation
COMMENTS
❑
APPROPRIATE PERMIT ON HAND
p
L7
❑
Business PLAN CONTACT INFORMATION ACCURATE
�7
❑
VISIBLE ADDRESS
❑
CORRECT OCCUPANCY
❑
VERIFICATION OF INVENTORY MATERIALS
❑
VERIFICATION OF QUANTITIES
lb
❑
VERIFICATION OF LOCATION
91
❑
PROPER SEGREGATION OF MATERIAL
❑
VERIFICATION OF MSDS AVAILABILITY
�I
❑
VERIFICATION OF HAZ MAT TRAINING
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
9k
❑
EMERGENCY PROCEDURES ADEQUATE
❑
CONTAINERS PROPERLY LABELED
❑
HOUSEKEEPING
❑
FIRE PROTECTION
03
❑
SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? ' ❑YES NO
EXPLAIN:
QUESTIONS REGARD
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05