HomeMy WebLinkAboutInspection 5-3-10UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
Prevention Services
B E R S F, 0 900 Truxtun Ave., Suite 210
* FIRE Bakersfield, CA 93301
ARrM r Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAM A4
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V V—
INSPECTION DATE
INSPECTION TIME
ADDRESS
l 1 w /
PHONE NO.
1- 2 v O
O OF EMPLOYEES
FACILITY CONTACT
BUSINESS ID NUMBER
15 -021-
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0 ROUTINE 11 COMBINED 0 JOINT AGENCY 11 MULTI-AGENCY 0 COMPLAINT El RE-INSPECTION
C v c C= Compliance OPERATION
V= Violation
COMMENTS
❑ APPROPRIATE PERMIT ON HAND
❑ Business PLAN CONTACT INFORMATION ACCURATE
❑ VISIBLE ADDRESS
❑ CORRECT OCCUPANCY
❑ VERIFICATION OF INVENTORY MATERIALS
❑ VERIFICATION OF QUANTITIES
IO ❑ VERIFICATION OF LOCATION
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❑ PROPER SEGREGATION OF MATERIAL
❑ VERIFICATION OF MSDS AVAILABILITY
JI� ❑ VERIFICATION OF HAZ MAT TRAINING
❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
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❑ EMERGENCY PROCEDURES ADEQUATE
❑ CONTAINERS PROPERLY LABELED
❑ HOUSEKEEPING
❑ FIRE PROTECTION
❑ SITE DIAGRAM ADEQUATE & ON HAND
r
ANY HAZARDOUS WASTE ON SITE?
EXPLAIN:
❑ YES [ENO
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QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station # Busi ess ite /Responsible Party (Please Print)
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05