HomeMy WebLinkAbout186 QUANTICOUNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
�► Prevention Services
e . F R S _I° ,_ 900 Tiuxtun Ave., Suite 210
FIRE Bakersfield, CA 93301
v aarM Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
NSPE I ON DATE
I
INSPECTION TIME
M A G +16
�
APPROPRIATE PERMIT ON HAND
ADDRESS
PHONE NO.
O OF EMPLOYEES
/
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_ 0 1
❑
FACILITY CONTACT
BUSINESS ID NU ER
4
15 -021-
$ectloln 1Buslness9 Plan and Inventory Program
ROUTINE ❑ COMBINED ❑ JOINT AGENCY • -❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V
C= Compliance OPERATION
V= Violation
COMMENTS
❑
APPROPRIATE PERMIT ON HAND
❑ aBUSIneSS PLAN CONTACT INFORMATION ACCURATE
�-
❑
VISIBLE ADDRESS
AQ ❑
CORRECT OCCUPANCY
4a ❑
VERIFICATION OF INVENTORY MATERIALS
❑
VERIFICATION OF QUANTITIES
❑
VERIFICATION OF LOCATION
50 ❑
PROPER SEGREGATION OF MATERIAL
❑
VERIFICATION OF MSDS AVAILABILITY
t
❑
VERIFICATION OF HAZ MAT TRAINING
❑ ❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
7
❑
EMERGENCY PROCEDURES ADEQUATE
❑
CONTAINERS PROPERLY LABELED
❑
HOUSEKEEPING
❑
FIRE PROTECTION
❑
SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS ASTE ON (SITE? }❑. YES SC 'LYNO
EXPLAIN: A� - to ___1',5 ` G YI a-CtQ i C" ` P`' V,�,-V
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
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urines ite / s onsible Pa Please Print
Inspector (Please Print) Fire Prevention / 1" In /Shift of Site /Station # nY ( )
White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05