HomeMy WebLinkAbout1621 CALIFORNIA AVEUNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
B F. R -S, F I D
FIRE
D ARTM
Prevention Services
900 Truxtun Ave., Suite 210
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 872 -2171"
FACILITY NAME
S
INSPECTI N DATE
INSPECTION TIME
'4
Z /b
❑
ADDRESS
16 2/ CAC �c ,QN /A
PHONE N0.
2S- 0�2.•
NO OF EM LOYEES
2—
FACILITY CONTACT
BUSINESS ID NUMBER
15-021 -
U1�E�72;),4/ 9 -6Cj0
45--
.. .
Section ,l Business Plan and'Inventory Program
❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
v
C= Compliance OPERATION
V= Violation
COMMENTS
%E.
❑
APPROPRIATE PERMIT ON HAND
IR
❑
BUSIf1eSS PLAN CONTACT INFORMATION ACCURATE
45--
❑
VISIBLE ADDRESS
9
❑
CORRECT OCCUPANCY
0,
❑
VERIFICATION OF INVENTORY MATERIALS
❑
VERIFICATION OF QUANTITIES
❑
VERIFICATION OF LOCATION
❑
PROPER SEGREGATION OF MATERIAL
®
❑
VERIFICATION OF MSDS AVAILABILITY
®
❑
VERIFICATION OF HAZ MAT TRAINING
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
❑
EMERGENCY PROCEDURES ADEQUATE
5K
❑
CONTAINERS PROPERLY LABELED
R
❑
HOUSEKEEPING
❑
FIRE PROTECTION
91
❑
SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? ❑ YES YLNO
EXPLAIN
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station #
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09105