HomeMy WebLinkAbout1957 19 STREETUNIFIED PROGRAM INSPECTION CHECKLIST Prevention Services
B 900 Truxtun Ave., Suite 210
- -- - - - - -- -- - -- _
------ - FIRE Bakersfield, CA 93301
AerN r Tel.: (661) 326 -3979
SECTION 1: Business Plan and Inventory Program
Fax: (661) 872 -2171
FACILITYNAME
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INSPECTION DATE
INSPECTION TIME
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❑ Business PLAN CONTACT INFORMATION ACCURATE
ADDRESS
PHONE ZN� g17%
O OF EMPI�YEES
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FACILITY CONTACT
USSINESS ID NUMBER
15 -021- 00-7 V2
Section 1: , 81usiness Plan'and Inventory Program
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ 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
( ❑ VERIFICATION OF LOCATION
LA ❑ PROPER SEGREGATION OF MATERIAL
❑ VERIFICATION OF MSDS AVAILABILITY
❑ VERIFICATION OF HAZ MAT TRAINING
Ilk ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
❑ EMERGENCY PROCEDURES ADEQUATE
❑ CONTAINERS PROPERLY LABELED
❑ HOUSEKEEPING
❑ FIRE PROTECTION
❑' SITE DIAGRAM ADEQUATE & ON HAND
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ANY HAZARDOUS WASTE ON SITE?
EXPLAIN:
<l YES ❑ NO
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QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 -
Inspector (Please Print)IF Fire Prevention / 1" In / Shift of Site /Station # Busi s Site / Responsibl y (PI
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05